摘要
Abstract
Objective: To study the reason for conversion to open surgery and the opportunity selection of laparoscopic cholecystectomy (LC). Methods: The patients who underwent LC successfully for cholecystolithiasis and cholecystitis were distributed into the LC group,and the open choleeysteetomy(OC) group was divided into intended conversion group and forced conversion group according to the opportunity of conversion, then the risk factors of conversion 、 intraoperative and postoperative relative index were observed and recorded. Results:Compared withthe LC group,the OC group contained more cases who had underwent epigastrium operation ever before or been suffering of acute cholecystitis, had higher WBC count and thicker gall bladder wall. The intended conversion group was superior to the forced conversion group in operation duration, blood loss, transfusion rates, postoperative drainage, recovery of gastrointestinal function 、offbed time as well hospital stay. Conclusions: History of epigastrium operation, attack of acute cholecystitis, higher WBC count and thicker gall bladder wall are major risk factors of conversion to open surgery. It is of important clinical value to select correct opportunity to conversion according to the intraoperative search.关键词
胆囊切除术,腹腔镜/中转开腹/原因/时机Key words
Cholecystectomy, laparoscopic/ Conversion to open surgery/ Reason/ Opportunity分类
医药卫生
