腹腔镜胃癌根治术中转开腹的原因分析

Analysis of the Causes of Conversion to Laparotomy in Gastric Cancer Patients Undergoing Radical Correction under Laparoscope

目的：分析腹腔镜胃癌根治术中转开腹手术的原因。方法：回顾性分析2011年1月～2013年1月300例采用腹腔镜行胃癌根治手术患者的资料,总结分析其中11例行中转开腹手术的原因。结果：因腹腔内出血中转4例,腹内脏器损伤2例,腹腔严重粘连3例,气腹造成难以控制的高碳酸血症1例,器械损伤1例。结论：腹腔镜胃癌根治术具有创伤小、恢复快、住院时间短、患者易接受等优点,但也存在一定的中转开腹手术率,主要与患者原因、术者原因和器械原因有关。

Objective： To investigate the cause of conversion to laparotomy in gastric cancer patients undergoing radical correction under laparoscope. Methods： The clinical data of 300 cases of gastric cancer patients who received radical correction under laparoscope from January 2011 to January 2013 were retrospectively analyzed, the causes of 11 cases who received conversion to laparotomy were summarized. Results： 4 cases were caused by abdominal cavity hemorrhage, 2 cases were caused by abdominal viscera injury, 3 cases were caused by abdominal serious adhesion, 1 case was caused by pneumoperitoneum cause hypercapnia, and 1 case was caused by equipment damage. Conclusion： Radical correction under laparoscope had the advantages of small trauma, rapid recovery, shorter hospitalization time and easier acceptance, but there was still certain rate of conversion to laparotomy, which was mainly corrected with the patients, operator and instrument.