腹腔镜胆囊切除中转开腹手术原因分析

目的　探讨腹腔镜胆囊切除 (LC)中转开腹手术的原因及手术指征。方法　对LC中 3 2例中转开腹手术的临床资料进行回顾性分析。结果　LC中转开腹率为 3 .2 % ,主要原因为胆囊周围粘连、结石嵌顿性胆囊炎、胆囊结石伴急性胆囊炎、慢性萎缩性胆囊炎、Calot三角显露不清或无法解剖。结论　掌握好中转开腹手术的时机及开腹后的处理是防止发生严重并发症的有效措施。

Causes of laparoscope cholecystectomy converted to laparotomy

Objective To study the causes of 32 patients who first undergoing laparoscope cholecystectomy (LC) and then converted to laparotomy. And discuss the indications of LC converted to laparotomy. Methods The clinical data of 32 cases of LC converted to laparotomy were analyzed retrospectively. Results The LC had converted to laparotomy in 3.2% of patients (32/998). The main causes were adhesions, incarcerated cholecystitis caused by lithic, cholelithiasis with acute cholecystitis, chronic atrophic cholecystitis, Calot triangle did not exposure clearly or could not be dissected. Conclusions LC converted to laparotomy correctly and correct treatment after laparotomy can prevent serious complications effectively.