摘要
目的:探讨急性炎症期腹腔镜胆囊切除术中转开腹的原因与防治。方法:回顾分析651例急性炎症期胆囊炎患者行腹腔镜胆囊切除术的临床资料。结果:腹腔镜胆囊切除术成功935例(97.54%),中转开腹16例(2.46%)。其中因胆囊三角解剖不清、胆囊与周围组织紧密粘连,主动中转开腹11例(1.69%),被动中转开腹的5例(0.77%)中胆管损伤2例,出血3例。结论:急性炎症期腹腔镜胆囊切除术是安全可行的,正确处理胆囊三角是降低LC并发症及中转开腹率的有效措施。
Objective：To explore the reasons and preventive approaches of the conversion to laparotomy in laparoscopic cholecystectomy（LC）on patients with acute cholecystitis.Methods：The data of 651 patients with acute cholecystitis undergoing LC were retrospectively analyzed.Results：In this group,the achievement rate of LC was 97.54%.16（2.46%）cases were converted to laparotomy.Among those conversions,11（1.69%）cases belonged to initiative conversions（difficult dissection of Calot＇s triangle,and severe adhesions of gallbladder with surrounding tissues）;5 cases（0.77%）belonged to obliged conversions（2 cases of injury of bile duct,and 3 cases of hemorrhage）.Conclusions：LC in patients with acute cholecystitis is safe and feasible.It is effective to deal with Calot＇s triangle correctly in reducing the rate of complications and conversion to laparotomy.
出处
《腹腔镜外科杂志》
2007年第4期334-335,共2页
Journal of Laparoscopic Surgery
关键词
胆囊炎
急性
胆囊切除术
腹腔镜
中转开腹
Cholecystitis,acute
Cholecystectomy,laparoscopic
Conversion to laparotomy
