| 腹腔镜胆囊切除术中转开腹的临床分析 |
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| 引用本文： | 穆四清,汪泓,马俊.腹腔镜胆囊切除术中转开腹的临床分析[J].腹腔镜外科杂志,2009,14(6):447-449. |
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| 作者姓名： | 穆四清 汪泓 马俊 |
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| 作者单位： | 金湖县人民医院,江苏,金湖,211600 |
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| 摘 要： | 目的:探讨腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)中转开腹的原因、意义及避免中转开腹的措施。方法:回顾分析1997年10月至2008年10月我院施行2946例LC中52例中转开腹患者的临床资料,以探讨中转开腹的原因。结果:本组中转开腹率1.77%,52例均成功完成相应手术,术后恢复顺利,治愈出院。结论:LC中转开腹常见的原因有手术区严重粘连、肝外胆道损伤、出血及术前漏诊、误诊等。提高技术水平、严格掌握LC适应证,可降低中转开腹率,及时中转开腹可减少严重并发症的发生。
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| 关 键 词： | 胆囊切除术 腹腔镜 剖腹术 中转开腹 |
Clinical analysis of conversion to laparotomy in laparoscopic cholecystectomy |
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| MU Si-qing,WANG Hong,MA Jun.Clinical analysis of conversion to laparotomy in laparoscopic cholecystectomy[J].Journal of Laparoscopic Surgery,2009,14(6):447-449. |
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| Authors: | MU Si-qing WANG Hong MA Jun |
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| Institution: | MU Si-qing,WANG Hong,MA Jun.Dept.of General Surgery,the People's Hospital of Jinhu,Jinhu 211600,China |
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| Abstract: | Objective:To study the causes,significance and prevention of conversion to laparotomy during laparoscopic cholecystectomy(LC).Methods:The clinical data of 52 cases of LC conversion to laparotomy out of 2 946 cases from Oct.1997 to Oct.2008 was analyzed retrospectively,the reasons were discussed.Results:The total conversion rate was 1.77%(52/2 946).52 cases were cured successfully by open surgery and discharged smoothly.Conclusions:The major causes of conversion to laparotomy are severe adhesion,injury of ex... |
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| Keywords: | Cholecystectomy laparoscopic Laparotomy Conversion to laparotomy |
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