摘要
目的 评估腹腔镜胆囊切除术中主动中转开腹对减少并发症的重要作用。方法 分析我院１６７例腹腔镜胆囊切除术中转开腹的原因。结果１５９例用腹腔镜完成胆囊切除，其中１例因迷走胆管漏于术后第４天开腹手术。其余８例中转开腹。结论 术中遇到严重粘连、解剖变异等超出术者处理能力时应适时主动中转开腹。
Objective To evaluate the importance of active conversion into open surgery for preventing com- plications during laparoscopic cholecystectomy. Methods Reasons of conversion into open surgery duing 167 LC were reviewed. Results LC in 159 cases were performed successfully. 1 case was operated on for bile leakage found in postoperative fourth day. Active conversion into open operation was in 8 cases. Conclusions Conversion into open surgery should be considered once intensive adhension or anormal anatomy or hemorrhage or unexpected injury happened.
出处
《中国微创外科杂志》
CSCD
2001年第2期75-76,共2页
Chinese Journal of Minimally Invasive Surgery
关键词
腹腔镜胆囊切除术
中转开腹
手术适应证
并发症
影响因素
laparoscopic cholecystectomy converting open operation complication Active conversion to open operation was in 8 cases
