【摘要】 目的:分析腹腔镜结直肠切除术中转开腹风险因素。方法:对429例临床资料进行回顾性研究。结果:中转开腹68例,中转开腹率15.85%,应用Logistic回归分析确定腹腔镜结直肠切除术中转开腹风险因素为年龄≥65(CI=2.115,P<0.05),体重指数BMI≥25(CI=2.907,P<0.01),手术例数≤25例(CI=1.900,P<0.05),有腹部手术史(CI=3.205,P<0.05),有转移(CI=30.115,P<0.01),肿瘤大小≥6cm(CI=8.954,P<0.05)。结论:术前明确腹腔镜结直肠切除术中转开腹风险因素可以评估手术难度,减少中转开腹率。更多还原

【Abstract】 Objective:To analyze the risk factors of conversion to open surgery in laparoscopic colorectal surgery.Methods:Retrospective study was performed in 429 patients,who underwent laparoscopic colorectal surgery at our department.Results:68 patients were converted to open surgery,and the conversion rate was 15.85%.The risk factors of laparoscopic colorectal surgery to open surgery included age≥65(CI=2.115,P<0.05),BMI≥25(CI=2.907,P<0.01),operation number≤25(CI=1.900,P<0.05),abdominal operation history(CI=3.205,P<0.05),invasion or metastasis(CI=30.115,P<0.01) and diameter of tumor≥6cm(CI=8.954,P<0.05).Conclusions:To evaluate the risk factors preoperatively can decrease the conversion rate.更多还原