摘要
目的 :探讨腹腔镜胆囊切除术的中转开腹的发生与防治。方法 :回顾性分析 1 0 2 6例腹腔镜胆囊切除术的临床资料。结果 :腹腔镜胆囊切除术成功率 97.4 % ,中转开腹 2 7例 ,占 2 .6 %。其中被迫性中转开腹 1 7例 ,占 1 .7% (胆囊局部粘连严重 )。强迫性中转开腹 1 0例 ,占 0 .97%。 (胆管损伤 6例占 0 .58% ,出血 4例 ,占 0 .39% )。结论 :腹腔镜胆囊切除术中转开腹的原因依次为腹腔粘连严重 ,胆道损伤及出血。
Objective:To study the reasons of the causeof the conversion to laparotomy in laparoscopic cholecystectomy and their prevention and treatment.Methods:One thousand and twenty-six cases of laparoscopic cholecystectomy were reviewed retrospectively. Results:In the 1?026 cases of laparoscopic cholecystectomy 27(2.6%) covert to laparotomy, success ratio 97.4%.The materials reveal severe adhesion in 17 cases(1.7%),a bile duct injury in 6(0.58%),bleeding in 4(0.39%).Conclusion:The major cause of the conversion to laparotomy in laparoscopic cholecystectomy are adhesion,injury of bile duct and bleeding, the major complication can be reduced by strict procedures of laparoscopic cholecystectomy.
出处
《中国内镜杂志》
CSCD
2003年第8期5-6,共2页
China Journal of Endoscopy
关键词
腹腔镜胆囊切除术
中转开腹
并发症
Laparoscopic Cholecystectomy
Conversion Laparotomy
Complication
