摘要
目的总结分析急性胆囊炎腹腔镜胆囊切除术(LC)即刻中转开腹的原因。方法回顾性分析笔者医院2006年1月～2010年7月226例急性胆囊炎LC中转开腹18例临床资料。结果急性胆囊炎LC中转开腹发生率为7.96%。其主要原因有胆囊三角粘连严重,解剖关系不清12例(66.7%),内瘘3例(16.7%),出血2例(11.1%),胆管损伤1例(5.6%)。结论急性胆囊炎行LC安全可行。如完成LC有困难时,应及时中转开腹,适时中转开腹是确保手术安全的必要措施。
Objective To summarize and analyze the causes for immediate conversion to laparotomy during laparoscopic cholecystectomy in patients with acute cholecystitis. Methods The clinical data of 226 patients with acute cholecystitis underwent LC in our hospital from January 2006 to July 2010 were analyzed retrospectively, in whom 18 cases conversed to open surgery immediately. Results The incidence rate of converting to laparotomy was 7.96%. Among the causes for converting from LC to laparotomy, difficult dissection of Calot＇ s triangle and adhesion of gallbladder with surrounding tissues was 12 cases （66.7%） , internal fistula was 3 cases （ 16.7% ） , massive bleeding was 2 cases（ 11.1% ） ,injury of bile duct was 1 case （5.6%）. Conclusion Laparoseopic cholecystectomy is a safe and feasible method for acute cholecystitics. If it is difficult to conduct LC, conversion to laparotomy should be initiatively applied. Proper conversion to laparotomy is an indispensable measure to ensure the patients＇ safety.
出处
《医学研究杂志》
2012年第4期173-174,181,共3页
Journal of Medical Research
关键词
急性胆囊炎
腹腔镜胆囊切除术
中转开腹
原因
Acute cholecystitis
Laparoscopic cholecysteetomy
Conversion to laparotomy
Causes
