【摘要】 目的 探讨腹腔镜胆囊切除术中转开腹的常见原因并分析相关病变机制及处理原则。方法 回顾性分析24例腹腔镜胆囊切除术中转开腹手术的临床资料。结果 24例患者中转为开腹手术后手术顺利完成， 术后无明显并发症， 临床症状均消失， 疗效满意。结论 腹腔镜胆囊切除术中转为开腹手术能有效提高手术安全性， 降低手术并发症。

    【关键词】 腹腔镜胆囊切除术；中转开腹；Calot三角

    Analysis of common causes of conversion to laparotomy during laparoscopic cholecystectomy CHEN Jian-wu. Department of Hepatobiliary Surgery， Wuhan Huangpo District People's Hospital， Wuhan 432200， China

    【Abstract】 Objective To investigate the common causes of conversion to laparotomy during laparoscopic cholecystectomy and to analyze the pathological mechanism and treatment principle. Methods The clinical data of 24 cases with conversion to laparotomy during laparoscopic cholecystectomy were retrospectively analyzed. Results The operation completed successfully after the 24 cases underwent conversion to laparotomy. There were no obvious complications after the operation ......
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    陈建武 湖北省武汉市黄陂区人民医院肝胆外科;

    【摘要】目的探讨腹腔镜胆囊切除术中转开腹的常见原因并分析相关病变机制及处理原则。方法回顾性分析24例腹腔镜胆囊切除术中转开腹手术的临床资料。结果 24例患者中转为开腹手术后手术顺利完成,术后无明显并发症,临床症状均消失,疗效满意。结论腹腔镜胆囊切除术中转为开腹手术能有效提高手术安全性,降低手术并发症。

    【关键词】 腹腔镜胆囊切除术 中转开腹 Calot三角

    【分类号】R657.4

    腹腔镜胆囊切除术(LC)以其手术创伤小,术后恢复快,治疗总费用低的优点成为胆囊结石、胆囊炎治疗术式的“金标准”,临床已广泛开展[1]。因患者病情差异及手术者技术水平的不同,临床有5%~10%的中转开腹率。本院肝胆外科于2012年9月~2014年1月共实行LC 415例,其中中转开腹24例,现