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目的分析导致腹腔镜手术中转开腹的临床因素。方法回顾性分析浙江大学附属第二医院2006年5月～2011年5月,2 618例腹腔镜手术中转开腹的23例的临床特点。结果中转开腹率0.88%。因良性疾病致盆腹腔严重粘连、恶性肿瘤、术中出血这3种原因是中转开腹的主要原因,所占的比例分别为56.5%、26.1%、8.7%。结论盆腹腔严重粘连、恶性肿瘤、出血是腹腔镜中转开腹的主要原因。加强对患者术前病情的评估可以减少中转开腹率,及减少并发症的发生。
Objective To analyze the clinical factors that lead to laparoscopic conversion to laparotomy. Methods A retrospective analysis of the Second Affiliated Hospital of Zhejiang University from May 2006 to May 2011, 2 618 cases of laparoscopic surgery laparotomy in 23 cases of clinical features. Results conversion rate of 0.88% to open. Abdominal cavity due to benign disease caused by severe adhesions, malignant tumors, intraoperative bleeding are the three main reasons for laparotomy, the proportion of 56.5%, respectively, 26.1%, 8.7%. Conclusions Severe pelvic adhesions, malignant tumors and hemorrhage are the main causes of laparoscopic conversion to laparotomy. Strengthening the assessment of patients with preoperative conditions can reduce the conversion rate of laparotomy, and reduce the incidence of complications.