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[腹腔镜胆囊切除术中转开腹情况:300例胆囊切除术系列研究]

[Situations of conversion during laparoscopic cholecystectomy: series of 300 cholecystectomies].

作者信息

Rifki Jai Saad, Lakhloufi Ali, Hidraoui Khalid, Khaiz Driss, Chehab Farid, Bouzidi Abdelmajid

机构信息

Service chirurgie viscérale Aile III, CHU Ibn Rochd, Casablanca.

出版信息

Tunis Med. 2004 Apr;82(4):344-9.

Abstract

Laparoscopy is the "gold standard" for cholecystectomy, wherever it can happen that the surgeon must converse to laparotomy. The authors report 300 cases of laparoscopic cholecystectomy; the conversion rate was 9%; for cholecystitis (19%), cystic hemorrhage (3.7%) common bile duct (7.4%) and failure of material (11%). It resort from that study that laparoscopic cholecystectomy is safe, wherever it keeps some limits and conversion still remains a security and don't be assimilated to a failure.

摘要

腹腔镜胆囊切除术是胆囊切除术的“金标准”,但在某些情况下外科医生可能不得不转为开腹手术。作者报告了300例腹腔镜胆囊切除术病例;中转率为9%;原因包括胆囊炎(19%)、胆囊出血(3.7%)、胆总管问题(7.4%)和器械故障(11%)。从该研究得出,腹腔镜胆囊切除术是安全的,尽管它有一些局限性,中转仍然是一种保障,不应被视为失败。

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