[1]孙立波,冯野,张海山,等.急性胆囊炎腹腔镜手术时中转开腹原因分析[J].中国微创外科杂志,2005,05(4):286-287.
　Sun Libo,Feng Ye,Zhang Haishan,et al.On causes of conversions to open surgery during laparoscopic procedure for acute cholecystitis[J].Chinese Journal of Minimally Invasive Surgery,2005,05(4):286-287.
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急性胆囊炎腹腔镜手术时中转开腹原因分析()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
05
期数:
2005年4期
页码:
286-287
栏目:
出版日期:
2005-04-30

文章信息/Info

Title:
On causes of conversions to open surgery during laparoscopic procedure for acute cholecystitis
作者:
孙立波; 冯野; 张海山; 季德刚; 杨永生; 房学东; 张德恒; 郑泽霖　
吉林大学中日联谊医院普通外科,长春,130031
Author(s):
Sun Libo;  Feng Ye;  Zhang Haishan;  et al.
Department of General Surgery, China-Japan Union Hospital of Jilin University, Changchun1 30031, China
关键词:
急性胆囊炎;  腹腔镜;  中转开腹
Keywords:
Acute cholecystitis; 　Laparoscopy; 　Conversion to open surgery
分类号:
R657.4
文献标志码:
A
摘要:
目的探讨急性胆囊炎腹腔镜胆囊切除手术中转开腹的原因. 方法回顾分析32例急性炎症期行腹腔镜胆囊切除术的临床资料. 结果 32例中成功25例(78.1%), 中转开腹7例(21.9%).中转开腹原因主要是胆囊坏疽(4例)和不能清楚显露胆囊三角(3例). 结论对坏疽性胆囊炎和不能清晰解剖胆囊三角的急性胆囊炎应及时中转开腹手术.
Abstract:
Objective　To investigatemain causes leading to conversions to open surgery during laparoscopic cholecystectomy (LC) in the treatment of acute cholecystitis.　M ethods　A total of 32 cases of acute cholecystitis received LC were analyzed.　 Results　Out of the 32 cases of acute cholecystitis, LC was successfully accomplished in 25 cases (78·1% ) and a conversion to open surgerywas required in 7 cases (21·9% ). Major causes of the conversion included the necrosis of the gallbladder(4 cases) and the failure to expose the Calot’s triangle(3 cases).　Conclusions　Conversions to open surgery should be made during LC when a gangrenous cholecystitis is confirmed or the Calot’s triangle cannotbewell exposed.

参考文献/References:

[1]梅京松,何德林,庞典付,等. 腹腔镜治疗急性胆囊炎145例分析.中国微创外科杂志,2003,3:258-259.
[2]毛静熙,陈训如,余少明,等.胆囊炎症期的腹腔镜胆囊切除术.中国普外基础与临床杂志,1997,4:89-90.
[3]陈忠年,沈铭昌,郭慕依,主编.实用外科病理学. 上海:上海医科大学出版社,1997.404.
[4]张能维, 陆少美,徐智,等.急性胆囊炎的腹腔镜胆囊切除术.中国内镜杂志,1998,4(1): 34-35.

更新日期/Last Update: 2014-03-31