腹腔镜胆囊切除术中转开腹原因分析

目的：了解腹腔镜胆囊切除术中转开腹的原因。方法：对820例腹腔镜胆囊切除术其中16例中转开腹的病例分析。结果：820例腹腔镜胆囊切除术中中转开腹16例，中转手术率1．95％，中转开腹的主要原因为：慢性萎缩性胆囊炎8例(50％)；急性化脓性胆囊炎4例(25％)；胆囊动脉出血2例(12．5％)；与横结肠致密粘连1例(6．25％)；副肝管损伤1例(6．25％)。结论：腹腔镜胆囊切除术中转开腹的主要原因为：腹腔内的严重粘连、急性粘症水肿、坏疽、血管损伤、胆管损伤。

Study on the cause of the conversion to lapantomy during laparoscopic cholecystectomy

Objective:To study the reasons of the conversion to laparotomy during laparoscopic Chdecy stectomy.Methods:From 2000.03 to 2004.03, 16 cases of the conversion to laparotomy were reviewed retrospectively.Results:in the 820 cases of LCS, 16(1.95%) converted to laparotomy; The data examined revealed atrophil chole cystitis in 8 cases(50%); gallbladder densely adhere with transverse colon in 1 cases(6.25%); acute cholecystitis in 4 cases(25%); gallbladder artery bleeding in 2 cases(12.5%); allessory hepatic duct injury in cases(6.25%).Conclusion:The major causes of the conversionto laparotomy during laparoscopil choecy stectomy are severe adhesion, acute in lammation dropsy and gangrene, injury of bile duct and bleeding.