摘要
目的:探讨腹腔镜阑尾切除术(laparoscopic appendectomy,LA)中转开腹的原因及对策。方法:回顾分析453例LA术中35例中转开腹患者的临床资料。结果:中转开腹的原因主要有:阑尾根部坏疽(20/35),致密粘连或包裹(15/35),阑尾位置过深(11/35),术中大出血(4/35)等,合并2种或2种以上异常情况下中转率高达51.4%。结论:阑尾的炎症程度和位置是中转开腹的主要因素,术中遇有特殊情况、完成LA有困难时应及时主动中转开腹。
Objective：To investigate the reasons and treatment of laparoscopic appendectomy（LA） conversion to laparotomy.Methods：The retrospective analysis was made on the clinical data of 35 cases conversion to laparotomy in 453 patients who underwent LA.Results：The reasons of conversion to laparotomy mainly included gangrene at root of appendix（20/35）,compact adhesion or encapsulation（15/35）,deep location of appendix（11/35）,intraoperative hemorrhea（4/35） and so on.The conversion rate was 51.4% when 2 or more abnormalities were combined.Conclusions：The main reasons of conversion are degree of appendical inflamation and location.If special circumstances occur and it is difficult to conduct LA,conversion should be initiatively applied.
出处
《腹腔镜外科杂志》
2010年第7期559-560,共2页
Journal of Laparoscopic Surgery
关键词
阑尾炎
阑尾切除术
腹腔镜检查
中转开腹
Appendicitis
Appendectomy
Laparoscopy
Conversion to laparotomy
