腹腔镜胆囊切除即刻中转开腹手术的临床分析(1)
 |
| 第1页 |
参见附件(1562KB，2页)。
【摘要】 目的 探讨腹腔镜胆囊切除术(LC)中转开腹原因及降低中转开腹率的措施。方法 对2005年12月至2009年12月收治的943例接受LC患者中中转开腹手术35例(3.71%)的临床资料、中转原因进行回顾性分析。结果 胆管损伤2例,出血3例,腹腔胆囊周围粘连13例,胆囊三角解剖结构不清6例,胆囊十二指肠瘘1例,胆漏4例,Mirizzi 综合征Ⅰ型和Ⅱ型5例,胆总管结石1例。中转开腹手术35例均一次性完成胆囊切除,并对其并发症做了相应处理。结论 重视术前对胆囊病变程度的判断以及术中采取预防措施可减少中转开腹。
【关键词】 腹腔镜胆囊切除术中转开腹;防治措施
Clinicalanalysis of immediate laparotomy secondart to laparo scopic cholecys tectomy
LIANG Chong,LAO Jing-mao,HE Wen-hai,et al.
Department of General Surgery,People’s Hospital of Lingshan,Lingshan 535400,China
【Abstract】 Objective To study the causes and prevention & treatment measures of that,i.e first undergone laparoscopic cholecystectomy (LC) and then converted to laparotomy.Methods The study was based on 35 cases of conversions to laparotomy out of 943 cases of LC(3.71%) from December 2005 to December 2009 in authors’ hospital retrospectively.Results The clinical data revealed a bile duct injury in 2 cases,bleeding in 3cases,severe adhesion in abdominal cavity or between the gallbladder and neighboring tissues in 13cases,disturbed anatomy and adhesion in Calot’s triangle in 6 cases,cholecystoduodenal fistula in 1 case,bile leakage in 4 cases and Mirizzi syndrome(type I and type II) in 5 cases ......
您现在查看是摘要介绍页，详见PDF附件(1562KB，2页)。