| 腹腔镜胆囊切除术中转开腹的原因及对策 |
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| 引用本文： | 郝民强,李明宏,周松阳,王建华.腹腔镜胆囊切除术中转开腹的原因及对策[J].安徽医药,2009,13(7):790-791. |
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| 作者姓名： | 郝民强 李明宏 周松阳 王建华 |
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| 作者单位： | 江苏省中西医结合医院普外科,江苏,南京,210028;江苏省中西医结合医院普外科,江苏,南京,210028;江苏省中西医结合医院普外科,江苏,南京,210028;江苏省中西医结合医院普外科,江苏,南京,210028 |
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| 摘 要： | 目的分析腹腔镜胆囊切除术中转开腹的原因。方法回顾并分析本院1600例腹腔镜胆囊切除术中31例中转开腹的原因。结果主动中转开腹病例19例，主要原因为胆囊三角严重粘连，胆囊萎缩及胆道变异，被动中转开腹病例12例，主要原因为术中大出血及胆道损伤，31例均治愈。结论充分认识胆囊动脉变异和胆道变异，不断提高的手术操作技巧可减少手术并发症，降低中转开腹率，但在遇到意外情况或手术难度极大时应适时主动中转开腹以避免严重并发症。
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| 关 键 词： | 腹腔镜 胆囊切除术 中转开腹 |
The reason of conversion to open laparotomy in the procedure of laparoscopic cholecystectomy and the countermeasurea:a report of 1600 cases |
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| HAO Min-qiang,LI Ming-hong,ZHOU Song-yang,WANG Jian-hua.The reason of conversion to open laparotomy in the procedure of laparoscopic cholecystectomy and the countermeasurea:a report of 1600 cases[J].Anhui Medical and Pharmaceutical Journal,2009,13(7):790-791. |
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| Authors: | HAO Min-qiang LI Ming-hong ZHOU Song-yang WANG Jian-hua |
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| Institution: | (Department of General Surgery,Jiangsu Hospital of Traditional and Western Medivine ,Nanjing Jiangsu 210028 ) |
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| Abstract: | Aim To analyze the reasons for conversion to open laparotomy in the procedure of laparoscopic cholecystectomy(LC).Methods A retrospective analysis was performed on 1600 patients who underwent LC.Among them,31 cases converted to open laparotomy in operation.Results 19 cases converted to open laparotomy actively because of adhesions of Calot's triangle,atrophic gall bladder and variation of biliary tract.12 cases converted to open laparotomy passively because of bleeding and injury of biliary tract.These pati... |
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| Keywords: | laparoscopy cholecystectomy conversion to open laparotomy |
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