【摘要】 报道腹腔镜胆囊切除术 (L C) 370例中的中转开腹 14例 ,中转开腹率 3.78%。其中胆囊周围粘连、胆囊颈部结石嵌顿、胆囊三角区解剖不清 11例 ,胆囊癌 1例 ,十二指肠损伤 1例 ,胆囊床出血 1例 ,全组无并发症。讨论了中转开腹的原因、L C术前难易程度的判定和中转开腹的指征。指出正确掌握中转开腹的时机及开腹后的处理方法 ,是降低 L C并发症的有效措施。更多还原

【Abstract】 patients were operated with Laparoscopic Cholecystectomy(LC) in recent years in our hospital, in which 14 patients were changed to secondary laparotomy. It’s rate attained 3.78%. In 14 patients there were 11 cases of adhesion around gallbladder, stone incaraeration on the neck of gallbladder and unclear discrimination of Calot’s triangle, there were one cases of gallbladder carcinoma, duodenum injury and gallbladder nest bleeding. All the 14 cases were without complication. The article discussed about cause and indication of secondary laparotomy, difficult or easy before LC. It’s importint step that surgeon prodominate correctly opportunity and operable way of secondary laparoyory for complication of LC.更多还原