Journal of Navy Medicine 2014;(1):19-20

doi:10.3969/j.issn.1009-0754.2014.01.006

Causes of laparoscope cholecystectomy converted to open laparotomy

Gui-Rong WU 1 ; Yong-Jing ZHUANG ; Liang-Sheng LU ; Qun-Feng DENG ; Yan-Wen PENG

Affiliations

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Keywords

Laparoscope; Cholecystectomy; Laparotomy

Country

China

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 .