| 急性胆囊炎腹腔镜手术即刻中转开腹原因分析 |
| 投稿时间：2011-05-08 修订日期：2011-05-23 点此下载全文 |
| 引用本文：于爱军,赵洪涛,赵鲁文,张学军,刘金龙,张蓉.急性胆囊炎腹腔镜手术即刻中转开腹原因分析[J].医学研究杂志,2012,41(4):173-174 |
| DOI：
|
| 摘要点击次数: 1027 |
| 全文下载次数: 877 |
|
|
| 中文摘要:目的总结分析急性胆囊炎腹腔镜胆囊切除术（LC）即刻中转开腹的原因。方法回顾性分析笔者医院2006年1月～2010年7月226例急性胆囊炎LC中转开腹18例临床资料。结果急性胆囊炎LC中转开腹发生率为7.96%。其主要原因有胆囊三角粘连严重，解剖关系不清12例（66.7%），内瘘3例（16.7%），出血2例（11.1%），胆管损伤1例（5.6%）。结论急性胆囊炎行LC安全可行。如完成LC有困难时，应及时中转开腹，适时中转开腹是确保手术安全的必要措施。 |
| 中文关键词:急性胆囊炎 腹腔镜胆囊切除术 中转开腹 原因 |
| |
| Analysis of Causes for Immediate Conversion to Laparotomy During Laparoscopic Cholecystectomy in Patients with Acute Cholecystitis |
|
|
| Abstract:ObjectiveTo summarize and analyze the causes for immediate conversion to laparotomy during laparoscopic cholecystectomy in patients with acute cholecystitis. MethodsThe clinical data of 226 patients with acute cholecystitis underwent LC in our hospital from January 2006 to July 2010 were analyzed retrospectively, in whom 18 cases conversed to open surgery immediately. ResultsThe incidence rate of converting to laparotomy was 7.96%．Among the causes for converting from LC to laparotomy, difficult dissection of Calot′s triangle and adhesion of gallbladder with surrounding tissues was 12 cases(66.7%), internal fistula was 3 cases(16.7%), massive bleeding was 2 cases(11.1%)，injury of bile duct was 1 case(5.6%). ConclusionLaparoscopic cholecystectomy is a safe and feasible method for acute cholecystitics. If it is difficult to conduct LC, conversion to laparotomy should be initiatively applied. Proper conversion to laparotomy is an indispensable measure to ensure the patients′ safety. |
| keywords:Acute cholecystitis Laparoscopic cholecystectomy Conversion to laparotomy Causes |
| 查看全文 查看/发表评论 下载PDF阅读器 |
