[摘要] 目的 探讨腹腔镜胆囊切除中转开腹的原因及时机，避免出现手术并发症，提高手术的安全性。方法 回顾性分析2000年6月～2007年12月587例行LC的手术资料。结果 587例病例中中转开腹17例(2.9%)，均治愈出院。结论 严格掌握LC的手术指征，适当放宽中转开腹的指征，及时中转开腹是保证患者安全，提高手术成功率的关键。

    [关键词] 腹腔镜； 胆囊切除； 中转开腹； 原因及时机

    [中图分类号] R657.4 [文献标识码] A [文章编号] 1673-9701(2009)13-55-02

    The Analysis of Main Factors and Proper Time Choices of Predicts Laparoscopic Cholecystectomy Conversion to Open Surgery

    LI Zhiqun ZHANG Sheqin TANG Tingbo

    Department of General Surgery，The Affiliated Hospital of Yongzhou Vocational-technical College，Hunan 425006

    [Abstract] ObjectiveTo explore main factors and proper time for using Laparoscopic Cholecystectomy(LC) to enhance surgery's security. MethodsRetrospective study was performed on 587 patients ......