摘要
目的:探讨腹腔镜阑尾切除术(laparoscopic appendectomy,LA)中转开腹的原因。方法:回顾性分析215例腹腔镜阑尾切除术术中10例中转开腹患者的临床资料。结果:中转开腹的主要原因:阑尾慢性炎症(5/10),阑尾根部坏疽穿孔(2/10),阑尾粘液囊肿(2/10),回盲部炎性包块(1/10)。结论:慢性阑尾炎因为粘连较重,肿大明显,是中转开腹的主要因素;其次原因是根部的坏疽、穿孔。对于上述情况,术前应该做好充分的思想准备,并与患者做好沟通,术中准确判断是否中转手术,减少手术意外。
Objective： To investigate the reasons of laparoscopie appendeetomy（LA） conversion to laparotomy.Methods： The retrospective analysis was made on the clinical data of 10 cases conversion to laparotomy in 215 patients who underwent LA.Results： The reasons of conversion to laparotomy mainly included chronic appendicitis（5/10）, gangrene and punch at root of appendix（2/10）, appendiceal mucoceles（2/10）, ileocecal inflammatory mass（1/10）.Conclusion： The main reasons of conversion are chronic appendicitis, because of the serious eongutinatic, n and ndary cause is ganene and punch at root of appendix. There should be full-prepared and enough doctor-patient communication for such situation before the operation, we should also do an accurate judgement for either conversion to laparotomy or not during the process to reduce operation accident.
出处
《中外医学研究》
2013年第19期161-162,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
阑尾炎
阑尾切除术
腹腔镜
中转开腹
Appendicitis
Appendectomy
Laparoscopy
Conversion to laparotom
