摘要
目的探讨腹腔镜胆囊切除术(LC)中转行开腹手术的原因及减低其中转开腹率的举措。方法对23例LC患者因不同原因中转行开腹手术的临床资料进行回顾性分析。结果中转手术的23例病例均一次性完成胆囊切除,并对其并发症作了相应的处理。结论我院LC中转开腹率为2.8%,常见的原因是胆囊周围炎症水肿,Calot三角显露不清;术中出血;胆管损伤和胆漏等。术前对病变进行仔细评估和提高术者的技术水平是降低中转开腹的关键。
Objective To study the causes of the patients who first undergone laparoseopie eholeeysteetomy （LC） and then converted to laparotomy, And seek the measures to decrease the percentage. Methods The clinical data of 23 eases of LC converted to laparotomy was analyzed retrospectively. Results 23 eases converted to laparotomy were performed choleeysteetomy successfully and treated the complications. Conelusion The rate of patients that LC converted to laparotomy was 2,8%.The causes were incarcerated eholeeystitis caused by lithie,eholelithiasis with acute eholeeystitis,Calot triangle did not exposure clearly;the blood loss during operation;injury of bile duet and bile leakage,The overall assessment before operation and the technique of operator are key factors in reducing the rate of converted to laparotomy.
出处
《中国现代医药杂志》
2007年第8期24-26,共3页
Modern Medicine Journal of China
