摘要
目的分析腹腔镜胆囊切除术中转开腹患者临床特点,探讨中转开腹原因。方法调取82例患者病历资料、中转开腹报告,进行回顾性分析。结果风险因素主要包括胆囊萎缩、胆囊壁增厚、急性胆囊炎、糖尿病、有腹部手术史、总胆红素升高;直接原因：腹腔胆囊周围（多见底部）粘连38例、Calot三角解剖不清20例、胆管损伤7例、出血7例、Mirizi综合征Ⅱ型6例、胆囊十二指肠瘘4例;无严重并发症发生,住院时间5~29 d,平均（11±3）d。结论应建立落实LC难度与中转开腹预测指标体系;提升手术医师技术操作水平;做好术前检查、信息收集与核对工作。
Objective To analyze the clinical characteristics of patients with transit laparotomy in laparoscopic cholecystectomy. Method Take 82 patients medical records, conversion to open the report, retrospective analysis. Results The main risk factors include atrophy of gallbladder, gallbladder wall thickening, acute cholecystitis, diabetes, history of abdominal surgery, total bilirubin increased; the direct reason： abdominal cavity around the gallbladder （see more at the bottom） adhesion in 38 cases, Calot triangle unclear anatomy in 20 cases, 7 cases of bile duct injury, 7 cases of bleeding, Mirizi syndrome type in 6 cases, gallbladder duodenal fistula in 4 cases; no serious complications, hospitalization time of 5-29 d, average （11±3） d. Conclusion Should establish and implement forecasting index system of LC difficulty and laparotomy; enhance the skill of surgeon operating level; good preoperative examination and information collecting and checking work.
出处
《中国医药指南》
2015年第30期22-23,共2页
Guide of China Medicine
关键词
腹腔镜胆囊切除术
中转开腹
病例分析
Laparoscopic cholecystectomy
Converted to laparotomy
Case analysis
