| 陶绍富,胡郁之,孙蕾,等.腹腔镜胆囊切除术中转开腹93例原因分析[J].安徽医药,2019,23(6):1167-1168. |
| 腹腔镜胆囊切除术中转开腹93例原因分析 |
| Reasons for conversion from laparoscopic to open cholecystectomy in 93 cases |
| 投稿时间：2017-12-12 |
| DOI： |
| 中文关键词: 腹腔镜 胆囊切除术 中转开腹 |
| 英文关键词: Laparoscope Cholecystectomy Conversion to open cholecystectomy |
| 基金项目:安徽省卫生和计划生育委员会科研计划项目 (2016QK051) |
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| 摘要点击次数: 1974 |
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| 中文摘要: |
| 目的 分析腹腔镜胆囊切除术中转开腹原因,更好地指导临床手术。方法 对芜湖市第二人民医院2013年1月至2015年12月期间实施腹腔镜胆囊切除术和中转开腹病例资料进行回顾性分析。结果 总共进行4 286例腹腔镜胆囊切除术,其中中转开腹93例,中转率2.17%,主要原因有:胆囊三角解剖不清50例(53.8%),腹腔内广泛粘连25例(26.9%),Mirizzi综合征8例(8.6%),胆囊消化道瘘5例(5.3%),术中发现胆总管结石3例(3.2%),胆道变异损伤1例(1.1%),镜下难以控制的大出血1例(1.1%)。结论 胆囊三角解剖不清,腹腔内广泛粘连是腹腔镜胆囊切除中转开腹的主要原因,适时主动中转开腹是避免手术并发症的重要措施。 |
| 英文摘要: |
| Objective To analyze the reasons for conversion from laparoscopic to open cholecystectomy,and to better guide the clinical operation.Methods A retrospective analysis was performed for all of laparoscopic cholecystectomy (LC) and conversion in The Second People's Hospital of Wuhu from January 2013 to December 2015.Results A total of 4 286 cases received laparoscopic cholecystectomy,of which 93 cases had to be converted to open operation,the conversion rate being 2.17%.The main reasons were unclear Calot's triangle anatomy (50 cases,53.8%),intra-abdominal dense adhesions (25 cases,26.9%),Mirizzi syndrome (8 cases,8.6%),gallbladder fistula (5 cases,5.3%),bile duct stones in operation (3 cases,3.2%),variant bile duct injury (1 case,1.1%),and uncontrollable bleeding under laparoscope (1 case,1.1%).Conclusion Unclear Calot's triangle anatomy and intra-abdominal dense adhesions were the main reasons for conversion from laparoscopic to open cholecystectomy and active conversion to open cholecystectomy in time is an important measure to avoid the complications of LC. |
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