Causes of laparoscope cholecystectomy converted to open laparotomy
10.3969/j.issn.1009-0754.2014.01.006
- VernacularTitle:腹腔镜胆囊切除中转开腹手术23例原因分析
- Author:
Gui-Rong WU
1
;
Yong-Jing ZHUANG
;
Liang-Sheng LU
;
Qun-Feng DENG
;
Yan-Wen PENG
Author Information
1. 解放军第四二一医院外医科
- Keywords:
Laparoscope;
Cholecystectomy;
Laparotomy
- From:
Journal of Navy Medicine
2014;(1):19-20
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the causes and preventive measures of laparoscope cholecystectomy (LC) converted to open laparotomy.Methods A retrospective analysis of the clinical data in 23 cases (3.79%) from the 607 cases of laparoscope chole-cystectomy conversed to laparotomy from January 2005 to December 2010, was made in our study .Results The conversion was due to following causes:pericholecystic adhesion (11 cases), calot′s triangle unclear (5 cases), cystic artery hemorrhage (2 cases), bile duct lesion (2 cases), anatomic variation (2 cases), carcinoma of gall bladder (1 case).Laparotomy was successfully used in all the cases.Conclusion Full awareness of anatomic variation , good knowledge of LC indications and skillful manipulation were the key to the reduction of converted laparotomy .
