| 腹腔镜胆囊切除中转开腹手术的原因分析 |
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| 引用本文： | 胡立胜,苗雄鹰. 腹腔镜胆囊切除中转开腹手术的原因分析[J]. 中国现代手术学杂志, 2008, 12(1): 27-29 |
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| 作者姓名： | 胡立胜 苗雄鹰 |
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| 作者单位： | 中南大学湘雅二医院,长沙,410011 |
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| 摘 要： | 目的分析腹腔镜胆囊切除术（laparoscopic cholecystectomy，LC）中转开腹的原因并探讨其防治措施。方法2005年10月-2007年10月共行LC手术405例，中转开腹37例（9.1%）。结果中转开腹的原因：慢性萎缩性胆囊炎5例、解剖变异3例、术中胆管损伤7例、胆囊动脉或肝右动脉损伤出血6例、胆囊三角解剖不清16例，开腹手术均获成功，均痊愈出院。结论熟悉各种解剖变异、规范操作、正确术前评估、熟练的操作技术是减少LC中转开腹手术的关键。
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| 关 键 词： | 胆囊切除术 腹腔镜 萎缩性胆囊炎 胆囊动脉 |
| 文章编号： | 1009-2188(2008)01-0027-03 |
| 修稿时间： | 2007-12-01 |
Risk Factors for Conversion of Laparoscopic Cholecystectomy to Open Cholecystectomy |
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| HU Li-sheng,MIAO Xiong-ying. Risk Factors for Conversion of Laparoscopic Cholecystectomy to Open Cholecystectomy[J]. Chinese Journal of Modern Operative Surgery, 2008, 12(1): 27-29 |
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| Authors: | HU Li-sheng MIAO Xiong-ying |
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| Affiliation: | (Second Xiangya Hospital,Central South University,Changsha410011,Hunan,China) |
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| Abstract: | Objective To summarize the risk factors for conversion of laparoscopic cholecystectomy（LC） to open cholecystectomy（OC）.Methods From October 2005 to October 2007,a total of 405 cases underwent LC in our hospital,in whom 37（9.1%） cases conversed to open surgery.Results The causes of conversion included chronic atrophic cholecystitis of 5,anatomic variations of 3,bile duct injury of 7,cystic artery or right hepatic artery hemorrhage of 6,Calot＇s triangle unclear of 16.All the open surgery succeeded.Conclusion Anatomic variations familiarity,LC procedure standardization,preoperative careful evaluation,and skilled LC experiences are the keys to reduce conversion of LC to OC. |
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| Keywords: | cholecystectomy laparoscopic |
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