腹腔镜困难胆囊切除术中转开腹仍然是一个有效的解决方案，但仍存在一些未解决的问题。
Open conversion for laparoscopically difficult cholecystectomy is still a valid solution with unsolved aspects.
机构信息
1Department of Surgical Sciences and Advanced Technologies "GF Ingrassia", Cannizzaro Hospital, University of Catania, Via Messina, 829, 95126 Catania, Italy.
Department of Surgery, Augusta Hospital, Augusta, SR Italy.
出版信息
World J Emerg Surg. 2019 Feb 18;14:7. doi: 10.1186/s13017-019-0227-4. eCollection 2019.
Abstract
The difficult laparoscopic cholecystectomy remains a surgical challenge for surgeons who must decide between laparoscopic continuation and open conversion. The balance between the lack of open surgery training of young surgeons and the risk of maintaining the laparoscopic approach in difficult laparoscopic cholecystectomy is still an unresolved problem. Furthermore, the time that must be spent in an attempt to complete laparoscopic surgery before conversion is still controversial. The authors in this letter discuss about these and other questions that still require an answer.
摘要
对于外科医生来说，困难的腹腔镜胆囊切除术仍然是一个手术挑战，他们必须在腹腔镜继续和开放转换之间做出决定。在年轻外科医生缺乏开放手术培训和在困难的腹腔镜胆囊切除术中保持腹腔镜方法的风险之间保持平衡仍然是一个未解决的问题。此外，在转换之前尝试完成腹腔镜手术所需的时间仍然存在争议。本文作者讨论了这些以及其他仍需要回答的问题。
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