摘要
目的分析和总结腹腔镜阑尾切除术中转开腹的原因,探讨中转开腹的指征。方法回顾统计我院自2001年5月～2007年5月腹腔镜阑尾切除术218例,术中中转开腹9例,对中转的原因进行分析探讨。结果导致中转开腹的主要原因有:阑尾致密粘连5例,位置异常4例,根部坏疽和穿孔3例,合并2种情况中转率达83%。结论阑尾的炎症程度和位置是中转开腹的主要原因,及时中转是降低死亡率和并发症的关键因素。
Objective To analyse the cause of conversion to open laparotomy in laparoscopy appendectomy and to discuss the indications of it. Methods We reviewed the clinical data of 218 patients having undergone laparoscopic appendectomy from May 2001 to May 2007,9 of whom received conversion to an open procedure. We analysed the primary causes and summarized the indications of conversion. Results The conversion was mainly due to close conglutination （ 5 eases ）, deep position of the appendix（4 cases）, perforated or gangrenous appendictis （3 eases）, when two conditions co-existed, the probabality of conversion would increase greatly up to 83%. Conclusion The degree of inflammation and the position of the appendix are the primary factors results in the conversion, conversion in time is the most important factor to rednce the mortality and complication of the operation.
出处
《中国现代医生》
2009年第1期75-76,共2页
China Modern Doctor
关键词
腹腔镜
阑尾切除术
中转
Laparoscopy
Appendeetomy
Conversion to open laparotomy
