文档介绍：急性炎症期腹腔镜胆囊切除术中转开腹33例临床分析
作者:陶涛吴乔松朱春远张逢普谢维明柴源刘军
【摘要】目的探讨急性炎症期腹腔镜胆囊切除术中转开腹的原因与防治。方法回顾性分析2006年10月~2011年5月1539例急性炎症期胆囊炎患者行腹腔镜胆囊切除术的临床资料。结果腹腔镜胆囊切除术成功1496例(%),中转开腹33例(%)。其中因Calot’s三角“冰冻样”粘连、Mirrizi综合征、上腹部广泛粘连,主动中转开腹19例(%),被动中转开腹的14例(%)中胆管损伤3例,出血11例。结论急性炎症期腹腔镜胆囊切除术是安全可行的,正确处理Calot’s三角是降低LC并发症及中转开腹率的有效措施。
【关键词】急性胆囊炎胆囊切除术腹腔镜中转开腹
【Abstract】Objective:To explore the reasons and preventiv approaches of the conversion to laparotomy in laparoscopic cholecystectomy(LC)on patients with acutecholecystitis. Methods:The data of 1539 patients with acute cholecystitis undergoing LC were retrospectively :In this group,the achievement rate of LC was %.33(%) cases were converted to those conversions,19(%) cases belonged to initiative conversions(difficult dissection of Calot’s triangle,and severe adhesions of gallbladder with surrounding tissues); 14cases (%) belonged to obliged c
onversions (3 cases of injury of bile duct, and 11cases of hemorrhage).Conclusions:LC in patients with acute cholecystitis is safe and is effective to deal with Calot’s triangle correctly in reducing the rate plications and conversion to laparotomy.
【Key words】acute Cholecystitis Cholecystectomy laparoscopic Conversion to laparotomy
我院于2006年10月~2011年5月,对具有胆囊切除手术指征的1539例处于急性炎症期的胆囊患者施行了腹腔镜胆囊切除(Laparoscopic Cholecystectomy;LC),其中33例因各种原因术中转为