摘要：目的：探讨腹腔镜胆囊切除术中主动中转开腹的原因及预防措施。方法：回顾性分析我院642例腹腔镜胆囊切除中转开腹的原因。结果：630例在腹腔镜下完成，中转开腹12例，中转开腹率1.9%，其中腹腔粘连严重7例，术中胆囊动脉出血、止血困难3例，胆道损伤2例。结论：在腹腔粘连严重,出血、止血困难及胆道损伤等情况时主动中转剖腹手术。

    关键词：腹腔镜胆囊切除术；中转剖腹；并发症

    Causes of the Conversion to Laparotomy and Prevention Measure in Laparoscopic Cholecystectomy

    XU Xin,SUN Shu-ming,TAO Chun-lian

    (The First Affiliated Hospital to Shantou University Medical College，Guangdong Shantou 515041， China)

    Abstract： Objective：To verify causes of the conversion to laparotomy and prevention measure in laparoscopic cholecystectomy. Method: The authors reviewed 642 cases laparoscopic cholecystectomy in our hospital. Result: 630 cases were accomplished under laparoscopic cholecystectomy, 12 cases of them were converted to laparotomy, the occurrence rate of the converted to laparotomy was 1.9% ,7 cases of them was seriously adhesion in abdomen,3cases of gallbladder artery bleeding in operating and hemostasis was difficulty, 2 cases injury of bileduct. Conclusion: The major causes of the conversion to laparotomy during laparoscopic cholecystectomy are severe adhesion, bleeding and injury bileduct. ......