腹腔镜胆囊切除术中转开腹相关因素临床分析

Clinical analysis of factors related to transit laparotomy in laparoscopic cholecystectomy

目的探讨腹腔镜胆囊切除术中转开腹的相关因素。方法回顾性分析1 670例腹腔镜胆囊切除术患者的临床资料,观察中转开腹者与性别、年龄、急性炎症、腹部手术史、体重指数、肝功能损害的相关性。结果1 670例腹腔镜胆囊切除术患者中转开腹45例(2.69%,45/1 670),Logistic回归分析显示腹部手术史(OR=3.56)、急性炎症(OR=3.12)、年龄大(OR=2.89)是中转开腹的独立危险因素(P<0.05)。结论腹腔镜胆囊切除术存在一定程度的中转开腹率,影响因素复杂,应实施针对性措施以降低其发生率。

Objective To explore the related factors of conversion of laparoscopic cholecystectomy to open. Methods A retrospective analysis of the clinical data of 1 470 cases of laparoscopic cholecystectomy patients , correlation between observed laparotomy and gender,age,acute inflammation,abdominal operation history,body mass index,liver function damage. Results 1670 cases laparoscopic cholecystectomy conversion to open laparotomy 45 cases （2.69%,45/1 670）,Logistic regression analysis showed that the history of abdominal operation（OR=3.56）,acute inflammation （OR=3.12）,age （OR=2.89）,is an independent risk factor for conversion to laparotomy（P〈0.05）. Conclusion There is a certain degree of conclusion laparoscopic cholecystectomy laparotomy ,the impact of complex factors,should be the implementation of measures to reduce the conversion to laparotomy.