腹腔镜胆囊切除术中转开腹的时机选择

Opportunity Selection of Converted to Laparotomy in Laparoscopic Cholecystectomy

目的探讨腹腔镜胆囊切除术(LC)中转开腹手术时机的把握与选择。方法回顾性总结分析扶风县妇幼保健院普外科2007年2月～2011年2月以来的548例腹腔镜胆囊切除术(LC)中的7例中转开腹手术的时机选择与手术效果。结果除1例手术中由于机械故障导致开腹外,其余6例病员在手术过程中出现异常情况后,均能及时主动中转开腹,所有病员全部治愈,无并发症发生。结论当LC手术过程中遇到操作困难、意外情况等因素时,不能为了片面追求LC的成功强行继续手术,而应主动掌握时机,及时果断地转为开腹手术,实为一种明智的选择。

Objective To evaluate the opportunity of converted to laparotomy in laparoscopic cholecystectomy （ LC ）. Methods There were 548 cases from february 2002 to february 2011 received LC in department of general surgery of our hospital and they were retrospectively analyzed. The operation effect was observed in 7 cases converted to laparotomy of the 548 cases. Results Six cases were converted to laparotomy initiatively in time when abnormal occurrence presence in LC. Except 1 case were converted to laparotomy because of mechanical trouble. All the patients were cured and no complication. Conclusion It is a judicious choice when unexpected or difficult condition appearance in LC, we should not keep on operating by force for the success of LC, but initiatively and resolutely converted to laparotomy in time.