Transmural suture technique for trocar-site bleeding following laparoscopic cholecystectomy

Laparoscopic cholecystectomy was performed in a cirrhotic patient who had cholelithiasis. Despite the existence of coagulopathy, excessive bleeding from the gallbladder and nodular liver was avoidable. Dissection and extraction of the gallbladder went smoothly. However, serious bleeding from the trocar site occurred following the withdrawal of the trocar/cannula. The bleeding was not controllable by electrocauterization. A novel attempt using a transmural suture technique was tried, and hemostasis was achieved satisfactorily. Our patient enjoyed an uneventful postoperative recovery and was discharged 2 days after surgery.