【摘要】 目的分析腹腔镜胆囊切除术(LC)中转开腹的危险因素,为在保证安全前提下,降低中转开腹率提供参考。方法回顾分析328例LC患者的临床资料,采用Logistic回归分析方法,分析LC中转开腹的危险因素。结果 328例LC患者中转开腹26例,占7.93%,主要原因是Calot三角解剖不清(12/26,46.12%),腹腔粘连(9/26,34.62%)。墨菲氏征阳性、胆囊壁厚≥3mm、近6个月发作频数≥2次和黄疸为中转开腹的危险因素。结论对存在危险因素的患者,应术前做好中转开腹和适时选择开腹手术的准备。更多还原

【Abstract】 Objective To study factors related to conversion from laparoscopic(LC) to opencholecystectomy(OC) and to determine its independent risk factots.Methods The clinical data of 328 cases of LC were retrospectively analyzed.in our hospital from Jua.2008 to Aug.2011,logistic regression analysis were used to identify its independent factots.Results The occurrence rate of conversion was 7.93%.The risk factors for LC conversion to open procedure comprised: Murphy sign(+);thickness of gallbladder wall≥3 mm;two ormore attacks of acute cholecystitis in recent 6 months and Jaundice.Conclusion Predefining these risk factors may decrease the occurrence of the LC conversion rate and the complication after operation;OC should be selected for the patients with the above risk factors.更多还原