腹腔镜胆囊切除术中转开腹31例分析

Conversion of laparoscopic cholecystectomy to open cholecystectomy:An analysis of 31 cases

目的：探讨腹腔镜胆囊切除(LC)术中转开腹原因。方法：回顾性分析LC中转开腹31例。结果：手术野出血12例，胆囊周围及Calot三角区严重粘连11例，胆囊管未夹闭2例，肝外胆管损伤2例，穿刺套管针损伤肠管、肠系膜2例，合并胃溃疡1例，肝硬化疑有癌变者1例。结论：通过LC医师操作逐渐熟练由主观原因造成的中转开腹可减少，而由客观因素需开腹的病例不可强行LC。

Objective:To investigate the reason of conv erting laparoscopic cholecystectomy(LC) to open cholecystectomy(OC) during operation.Methods:A retrospective analysis was made the reason of changing fro m LC to OC in 31 cases. Results:The reason of changing the method of operation were found to be operational bleeding in 12,Calot's triangle adhesion in 11,imcompletely clip ped cytic duct stump in 2,injury to the bile duct in 2,trocar injuring in 2,acco mpanied with gastric ulcer in 1 and hepatocirrhosis in 1.Conclusions:Changing of operation method from LC to OC due to an y subjective cause is getting*'less,because*'of*'the proficiency in technique,but can not to be avoid in case of any objective reasons.