Analysis of relative factors on the working space for operations in gasless laparoscopic cholecystectomy
10.3760/cma.j.issn.1673-4203.2012.01.008
- VernacularTitle:非气腹腹腔镜胆囊切除术中影响手术操作空间的相关因素分析
- Author:
Yanming LI
;
Chongyang ZHANG
;
Lifang ZHOU
;
Zhiqiang TIAN
;
Lin TIAN
- Publication Type:Journal Article
- Keywords:
Laparoscope;
Gasless;
Gallbaldder
- From:
International Journal of Surgery
2012;39(1):20-22
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the potential factors which have impact on the working space for surgeons in gasless laparoscopic cholecystectomy and to probe into the specifications of gasless surgeries.Methods Clinical data of 49 cases of gasless laparoscopic cholecystectomy between March 2007 and July 2010 were summarized.The impacts of body mass index,bowel preparation and means of anesthesia on operation time and conversion to laparotomy were analyzed.Results For patients with body mass index ≤25and ＞ 25,operation times were (43.0 ± 5.4) min,and (52.8 ± 7.4 ) min,respectively,and rates of conversion to laparotomy were 0/34 and 4/15,respectively.Both indices in the first group were higher.For patients with and without bowel preparation,operation times were (44.5 ± 5.4) min and (46.1 ± 8.0)min,respectively,and rates of conversion to laparotomy were 2/26 and 2/23,respectively.For patients with epidural anesthesia and lumbar/epidural anesthesia,operation times were (46.5 ± 7.9) min and (44.1 ±6.8) min,respectively,and rates of conversion to laparotomy were 2/24 and 2/25,respectively.Conclusions The operation time of gasless laparoscopic cholecystectomy could be affected by many factors,such as body mass index.Gasless operations can be improved by evaluating the conditions of patients correctly and by selecting suitable operation methods,anesthesia means and bowel preparation.
