腹腔镜手术中转开腹13例分析

目的 探讨有效降低腹腔镜手术中转率的方法。方法 回顾性总结分析该院2000年11月～2004年10月911例腹腔镜手术中13例中转开腹的原因。结果 该院中转率为1．43％，低于文献报道的平均值。该组术中止血困难、粘连、损伤各3例，各占23．1％；解剖变异2例，占15．4％；找不到纱条和可疑胆囊癌变各1例，各占7．69％。结论 腹腔镜手术中转率的高低，与手术适应证的选择和术者的技术熟练程度有直接的关系。

Analysis of 13 cases of conversion from laparoscopy to laparotomy

Objective To disscuss the way of efficiently decreasing the rate that Caesarean operations are required in peritoneoscope operations. Method To summarize and analyze the reasons why our hospital took 13 cases out of 911 operations from November 2000 to April 2004. Result The rate that Caesarean operations are required in peritoneoscope operations in our hospital is 1.43%, below the average reported. In this group, the difficulty of stanching bleeding during operations, adhesion, injure, each of them has 3 cases, taking up 23.1%; dissecting variation has 2 cases, taking up 15.4%; not finding gauze and guess gallbladder cancer, each has one case, taking up 7.69%. Conclusion In the peritoneoscope operations, it is directly related to the choice and the operator's skills whether the rate that Caesarean operations are required in peritoneoscope operations is high or not.