腹腔镜胆囊切除术失败的相关因素研究

Clinical analysis of the risk factors of conversion from laparoscopic cholecystectomy to open cholecystectomy

摘要:

目的 探讨腹腔镜胆囊切除术失败中转开腹的相关危险因素。方法 对50例腹腔镜胆囊切除术失败的患者和同期300例腹腔镜胆囊切除术成功施行患者的临床资料进行对比研究，运用多因素方差分析和Logistic分析探讨导致中转开腹的相关危险因素。 结果 胆囊炎急性发作、胆囊壁较厚、胆总管直径增宽、总胆红素升高、胆囊结石嵌顿是腹腔镜胆囊切除术失败的危险因素。 结论 腹腔镜胆囊切除术术前对上述危险因素进行综合评估有利于选择正确手术方式，减少严重并发症的发生。

Abstract:

【Objective】 To analyze the risk factors of failure with laparoscopic cholecystectomy and conversion from laparoscopic cholecystectomy to open cholecystectomy. 【Methods】 50 cases of patients with conversion laparoscopic cholecystectomy to open surgery were chosen as study group, and 300 cases of patients with successful laparoscopic cholecystectomy were selected as control group, all clinical data were comparatively study with multiple factor analysis and logistic analysis. 【Results】 Analysis results showed that acute cholecystitis, gallbladder wall thickness, the diameter of the common bile duct width, total bilirubin, gallstone incarceration laparoscopic cholecystectomy were risk factors of LC conversion to open surgery. 【Conclusion】 Preoperative comprehensive evaluation of risk factor was significant for choosing operative method and be helpful to reduce the incidence of serious complications.