腹腔镜胆囊切除术中转开腹150例临床分析  

Reviews of 150 Cases of Transferring to Laparotomy During Laparoscopic Cholecystectomy

作　　者：沈章义[1] 黄汉涛[1] 罗先文[1] 王志刚[1] 赵端仪[1] 

机构地区：[1]武警湖北总队医院外二科,武汉430061

出　　处：《武汉大学学报（医学版）》2006年第4期535-536,共2页Medical Journal of Wuhan University

摘　　要：目的:探讨腹腔镜胆囊切除术(LC)中转开腹的原因,评估LC术前难易的程度及怎样减少LC手术并发症。方法:回顾分析我院1996年5月至2006年5月5 000例LC中150例中转开腹的临床资料。结果:LC中转开腹发生率为3%,其原因为胆囊周围黏连,近期急性发作,Calot三角解剖不清,难以确认胆总管是否有损伤。结论:胆囊周围黏连,近期急性发作,应慎重选择LC。掌握好中转开腹的时机及处理方法,是降低LC手术并发症的有效措施。Objective： To discuss the causes of transferring to open laparotomy during laparoscopic cholecystectomy （LC） and to judge the degree of operation difficulty and how to decrease the incidence of complications after LC. Methods： The clinical data of 5 000 cases of LC were retrospectively analyzed. Results： The main causes of the transferring during the operation were the recent onset of cholecystitis, adhesion around gallbladder, unclear discrimination of Calot＇s triangle, and damage in choledochus. Conclusion： If the patients have the history of acute cholecystitis or recent acute outbreak and adhesion around gallbladder, it must be careful to the selection of LC. To decrease incidence of complications of LC, it＇s an important step that surgeons take the correct opportunity and operation ways of immediate laparotomy.

关 键 词：腹腔镜 胆囊切除术 中转开腹 

分 类 号：R657.4[医药卫生—外科学]