【摘要】 目的:探讨腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)中转开腹的原因、时机及如何预防、减少LC并发症的发生。方法:回顾分析2002年9月至2009年12月1 036例LC中43例中转开腹患者的临床资料。结果:本组LC中转开腹率4.15%,原因包括胆囊周围及Calot三角严重粘连,术中无法控制的出血,十二指肠损伤,迷走胆管漏和胆道损伤。结论:术中把握中转开腹时机及处理方法,可减少LC并发症的发生。更多还原

【Abstract】 Objective:To investigate the reasons and opportunity for conversion of laparoscopic cholecystectomy(LC) to open surgery as well as how to prevent and reduce complications of LC.Methods:In 1 036 cases of LC from Sep.2002 to Dec.2009,43 cases were converted to open surgery.The clinical data of the 43 cases were retrospectively analyzed.Results:The incidence of LC conversion to laparotomy was 4.15%.The reasons included severe adhesion around the gallbladder and Calot triangle,intraoperative uncontrolled bleeding,duodenal injury,aberrant bile duct leakage and bile duct injury.Conclusions:Grasping the opportunity of conversion to laparotomy and treatment method can reduce the complications of LC.更多还原