The risk factors and prognosis of laparoscopic cholecystectomy remedied by laparotomy
10.3969/j.issn.1006-5725.2017.16.27
- VernacularTitle:腹腔镜胆囊切除术中转开腹的危险因素及预后分析
- Author:
Sheng WANG
;
Yong NI
- Keywords:
laparoscopic cholecystectomy;
transit to laparotomy;
risk factors;
prognosis
- From:
The Journal of Practical Medicine
2017;33(16):2714-2716
- CountryChina
- Language:Chinese
-
Abstract:
Objective To review the study on the risk factors and prognosis of laparoscopic cholecystectomy remedied by laparotomy. Methods Five hundred cases of laparoscopic cholecystectomy patients in our hospital were collected as a research object ,using univariate analysis and multivariate logistic regression analysis to screen and analyze laparotomy during laparoscopic cholecystectomy ,and its prognosis. Results 500 cases of cholecys-tectomy patients were converted to laparotomy in a ratio of 4.2%. The independent risk factors contained BMI index,patients with history of abdominal surgery,patients with cholecystitis episodes,doctors clinical experience , patients with gallbladder wall thickness during laparoscopic cholecystectomy. Twenty-one patients undergone laparotomy during laparoscopic cholecystectomy without severe complications. Conclusion Before laparoscopic cholecystectomy,physicians should analyze the following factors comprehensively in obesity,abdominal surgery, recurrent cholecystitis,gallbladder wall thickness,in order to determine the operating method and reduce the the rate from laparoscopic cholecystectomy to laparotomy.
