| 摘要: |
| ［摘要］ 目的 探讨腹腔镜胆囊切除术（LC）中转开腹手术的原因。方法 采用回顾性分析的方法对30例LC中转开腹手术原因进行统计分析。结果 中转开腹手术的原因中，手术部位解剖关系不清16例（53.3%），解剖结构异常6例（20.0%），胆囊床广泛渗血不止4例（13.3%），胆囊动脉出血3例（10.0%），肝外胆管损伤1例（3.3%）。结论 腔镜手术操作困难时应及时中转开腹手术，以获得最好的远期疗效。术前仔细评估，严格腹腔镜手术指征，术中仔细精准的解剖定位，可以降低中转开腹手术率。 |
| 关键词: 腹腔镜胆囊切除术 中转开腹手术 原因分析 |
| DOI：10.3969/j.issn.1674-3806.2013.10.12 |
| 分类号:R 6 |
| 基金项目: |
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| Analysis of causes of the conversion to laparotomy during laparoscopic cholecystectomy |
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HUANG Tao,ZHU Hong,LIU Jia, et al.
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Department of General Surgery,Tebet Chengdu Branch Hospital of West China Hospital,Sichuan University, Chengdu 610041, China
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| Abstract: |
| ［Abstract］ Objective To study the causes of conversion to laparotomy during laparoscopic cholecystectomy(LC).Methods A retrospective analysis was performed on the causes of conversion to laparotomy in 30 patients received LC.Results The causes of conversion to laparotomy, included obscure anatomical relation in surgical site in 16 cases, accounted for 53.3%; anomolous anatomical in 6 cases, accounted for 20.0%; widely oozing blood of gallbladder bed in 4 cases, accounted for 13.3%; bleeding of cystic artery in 3 cases, accounted for 10.0%; injury of the extrahepatic bile duct in one case, accounted for 3.3%.Conclusion Conversion to laparotomy should be timely performed when LC meeting difficulties, in order to get the best long-term curative effect. Preoperative careful evaluation, strictly laparoscopic surgical indications,and intraoperative careful accurate anatomical location, can reduce the rate of conversion to laparotomy. |
| Key words: Laparoscopic cholecystectomy(LC) Conversion to laparotomy Causes |
