腹腔镜胆囊切除术中转开腹17例分析

ANALYSIS OF 17 CASES OF SECONDARY LAPAROTOMY IN LAPAROSCOPIC CHOLECYSTECTOMY

1992年10月～1997年10月共行腹腔镜胆囊切除术1082例，其中术中转开腹17例。中转开腹率1．57％。文章分析了导致中转开腹的两类原因：一类是疾病原因，这类中转开腹很难避免，故要求术前正确评价手术难易程度，掌握好适应证；另一类是技术原因，可以通过提高手术拔巧来逐步减少、中转开腹是保证病人安全和手术质量的重要措施。

1082 cases of patients were treated by Laparoscopic Cholecystectomy from October 1992 to October 1997. 17 patients were changed to secondary laparotomy. It's rate attained 1. 57 %. We analysed the two reasons leading to secondary laparotomy. One was itiological,which was unable to be avoided so that we had to master the indication exactly. The other was techniqual,which could be abonished my improving operative skills. Secondary Laparotomy was important steps to ensure the lives of patients and operative quality.