腹腔镜胆囊切除术中转开腹的临床分析

Clinical analysis of conversion to open surgery during laparoscopic cholecystectomy

目的探讨腹腔镜胆囊切除术中转开腹的原因及预防措施。方法回顾分析2005年12月~2009年12月我院施行413例LC中11例中转开腹患者的临床资料,以探讨中转开腹的原因。结果 402例在腹腔镜下完成,中转开腹11例,中转开腹率2.7%,其中腹腔内及Calot三角黏连4例,Mirrizi综合征1例,出血2例,胆道损伤1例,其它原因2例。结论严格掌握LC适应征,提高LC操作技术水平,可降低中转开腹率,及时中转开腹可减少严重并发症的发生。

Objective To study the causes and prevention methods of conversion to laparotomy during laparoscopic cholecystectomy.Methods Clinical data of 11cases of LC conversion to laparotomy out of 413 cases from December 2005 to December 2009 were analyzed retrospectively and the causes were discussed.Results 402 cases were completed under laparoscopic cholecystectomy,11cases of which were converted to laparotomy.The occurrence rate of the laparotomy was 2.7%,with 4 cases of adhesion in abdominal cavity and Calot＇s triangle,1case of Mirrizi＇s syndrome,1 case of carcinoma of gallbladder,2 cases of bleeding,1 case of bile duct injuries,and 2 cases of other causes.Conclusion Conversion rate can decrease if LC indications are controlled strictly and operative skills are improved.Conversion to laparotomy in time can reduce the incidence of serious complications.