【摘要】 目的:探讨急性胆囊炎行腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)的危险因素。方法:回顾分析我科401例急性胆囊炎患者行LC的临床指标,并进行多因素分析。结果:391例成功完成LC,10例中转开腹。结论:急性胆囊炎LC失败的危险因素有上腹部手术史,白细胞、总胆红素、碱性磷酸酶增高,胆囊管结石嵌顿,发病超过72h。急性胆囊炎患者行LC的危险因素有助于外科医师在术前对患者进行全面评估,以提高LC的成功率,减少并发症的发生。更多还原

【Abstract】 Objective:To explore the risk factors of conversion to open surgery in pationts with acute cholecystitis undergoing laparoscopic cholecystectomy.Methods:The clinical data of 401 patients with acuts cholecystitis undergoing LC from Apr.2000 to May 2008 was analyzed retrospectively.Results:The operation was successfully performed on 391 patients,but 10 converted to open surgery.Conclusions:The risk factors of converstion to open cholecystectomy included history of uper abdominal operation,increase of white blood total bilinubin and alkaline phosphatase,stone in scarceration on the neck of gallbladder and the longer time about more than 72 hours after the onset time.The study is benefical to the general as sessment of patients,increasing the rate of LC and reducing complications.更多还原