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主动中转开腹在腹腔镜胆囊切除术中的作用
引用本文:吴德全,韩德恩,张新宇,胡占良,曾兆林,孙士波,张涛,杨维良. 主动中转开腹在腹腔镜胆囊切除术中的作用[J]. 中国微创外科杂志, 2001, 1(2): 75-76
作者姓名:吴德全  韩德恩  张新宇  胡占良  曾兆林  孙士波  张涛  杨维良
作者单位:哈尔滨医科大学附属第二医院普外科哈尔滨 150086
摘    要:目的 评估腹腔镜胆囊切除术中主动中转开腹对减少并发症的重要作用。方法 分析我院167例腹腔镜胆囊切除术中转开腹的原因。结果 159例用腹腔镜完成胆囊切除,其中1例因迷走胆管漏于术后第4天开腹手术。其余8例中转开腹。结论 术中遇到严重粘连、解剖变异等超出术处理能力时应适时主动中转开腹。

关 键 词:腹腔镜胆囊切除术 中转开腹 手术适应证 并发症 影响因素

The role of active conversion into open surgery during laparoscopiccholecystectomy.
Wu Dequan, Han De,en, Zhang Xinyu et al. The role of active conversion into open surgery during laparoscopiccholecystectomy.[J]. Chinese Journal of Minimally Invasive Surgery, 2001, 1(2): 75-76
Authors:Wu Dequan   Han De  en   Zhang Xinyu et al
Affiliation:Wu Dequan, Han De,en, Zhang Xinyu et al Department of Surgery the Second Teaching Hospital,Haerbin Medical University,Ha- erbin 150086 China.
Abstract:Objective To evaluate the importance of active conversion into open surgery for preventing com- plications during laparoscopic cholecystectomy. Methods Reasons of conversion into open surgery duing 167 LC were reviewed. Results LC in 159 cases were performed successfully. 1 case was operated on for bile leakage found in postoperative fourth day. Active conversion into open operation was in 8 cases. Conclusions Conversion into open surgery should be considered once intensive adhension or anormal anatomy or hemorrhage or unexpected injury happened.
Keywords:laparoscopic cholecystectomy converting open operation complication Active conversion to open operation was in 8 cases
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