Analysis of risk factors for conversion of laparoscopic cholecystectomy to laparotomy

VernacularTitle:腹腔镜胆囊切除术中转开腹的危险因素分析
Author: Jianhua ZHU ; Jiang HAN ; Yiming CHEN ; Wei WANG ; Di QIAO ; Daxi MA ; Yunjie WANG ; Shuping GAO
Publication Type:Journal Article
Keywords: Cholecystectomy; Laparoscopes; Risk factors; Conversion to open surgery
From: Chinese Journal of Postgraduates of Medicine 2012;(35):21-23
CountryChina
Language:Chinese
Abstract: Objective To investigate the risk factors for conversion of laparoscopic cholecystectomy (LC) to laparotomy.Methods In 1020 LC patients,36 patients with conversion of LC to laparotomy were chosen as the case group,108 patients with successful LC were chosen as the control group.Univariate analysis and Logistic multivariate regression model were used to analyze the risk factors for conversion of LC to laparotomy.Results Age ＞ 65 years (0R=3.234,95％ CI:0.532-6.853),course of disease ＞ 72h (OR =2.342,95％ CI:0.568 ～ 5.656),history of upper abdominal operation (OR =2.453,95％ CI:0.345-7.453),thickness of gallbladder wall ≥ 6 mm (OR =2.453,95％ CI:0.453-6.343),white bloodcell count ＞ 15.0 × 109/L (OR =4.532,95％ CI:0.535-8.329) were risk factors for conversion of LC to laparotomy.Conclusion Preoperative comprehensive evaluation the risk factors and selecting suitable program have important clinical significant in reducing the rate of conversion LC to laparotomy.