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腹腔镜胆囊切除术中转开腹的原因分析
引用本文:丁伯强,陈尚友,陈新权.腹腔镜胆囊切除术中转开腹的原因分析[J].安徽卫生职业技术学院学报,2008,7(5):32-33.
作者姓名:丁伯强  陈尚友  陈新权
作者单位:祁门县人民医院,安徽,245600
摘    要:目的:分析讨论腹腔镜胆囊切除术中转开腹的原因,探讨降低中转开腹率的预防措施。方法:回顾886例LC病例,对11例LC中转开腹的临床资料进行回顾分析。结果:886例LC中,腹腔镜胆囊切除术成功率98.7%,中转开腹11例,占1.2%。其中主动中转开腹8例,被迫中转开腹3例。结论:LC的微创的优势是显而易见的,但其本身局限性也同样十分突出,果断中转开腹是LC避免损伤胆管、血管等严重并发症的有效措施之一。LC开展的早期应适当放宽中转开腹的指征,随着腹腔镜术者经验的积累和技术的提高,LC的中转开腹率也会相应降低。

关 键 词:腹腔镜  胆囊切除  开腹术  原因

Analysis of the Causes of the conversion to laparotomy in laparoscopic cholecystectomy
DING Bo-qiang,CHEN Shang-you,CHEN Xin-quan.Analysis of the Causes of the conversion to laparotomy in laparoscopic cholecystectomy[J].Journal of Anhui Heaith Vocational & Technical College,2008,7(5):32-33.
Authors:DING Bo-qiang  CHEN Shang-you  CHEN Xin-quan
Institution:(The people's Hospital of Qimen County, Qimen 245600,Anhui)
Abstract:Objective: to analyze the causes of the conversion to laparotomy in LC and investigate the preventive measures to reduce conversion rate in LC. Methods: to analyze the clinical data of the conversion to laparotomy in 11 cases. Results: from Feb 2002 to Jan 2008, We performed 886 cases laparoscopic cholecysteltomies (LC) for benign gallbladder diseases. In the process of LC there was immediate Conversion to laparotomy in 11 cases (1.2%),of which 8 cases were active and 3 cases passive. Conclusion: LC has obv...
Keywords:laparoscopy  cholecysectomy  open  causes  
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