摘要
目的 探讨腹腔镜胆囊切除术 (LC)中转开腹的原因。 方法 对我院 1 991年 1 2月～ 2 0 0 1年 1 0月实施的1 2 6 72例LC中转开腹手术 1 5 6例进行回顾性分析。 结果 中转开腹率 1 2 3% (1 5 6 / 1 2 6 72 ) ,术中因病情复杂及术前误诊所致的被迫性开腹 92例 (5 8 97% ) ,术中因出现技术性并发症而导致强迫性开腹 4 7例 (30 1 3% ) ,延期开腹 1 7例 (1 0 90 % ) ,胆管损伤率 0 2 % (2 6 / 1 2 6 72 )。 结论 LC中转开腹主要原因为术前准备不充分 ,术者经验不足 ,病变复杂 。
Objective To study the causes of conversions to open surgery during laparoscopic cholecystectomy (LC). Methods The study was based on a retrospective review of 156 cases of conversions to laparotomy out of 12672 cases of LC from December 1991 to October 2001 in this hospital. Results Ninety-two (58.97%) cases of conversions were due to complicated clinical condition and preoperative misdiagnosis, 47 (30.13%) cases of conversions due to technological complications, and 17 (10 90%) cases underwent delayed laparotomy. The total conversion rate was 1.23% and the rate of bile duct injuries was 0.2% (26/12672). Conclusions Inadequate preparation, deficiency of experience, complicated clinical situation, and anatomical variation of bile ducts are the leading causes to conversions.
出处
《中国微创外科杂志》
CSCD
2003年第6期488-489,共2页
Chinese Journal of Minimally Invasive Surgery
