| 李三党 韩晓鹏 王璟 于建平 刘宏斌.腹腔镜胃癌根治术中转开腹的原因分析[J].,2015,15(2):254-256 |
| 腹腔镜胃癌根治术中转开腹的原因分析 |
| Analysis of the Causes of Conversion to Laparotomy in Gastric CancerPatients Undergoing Radical Correction under Laparoscope |
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| DOI： |
| 中文关键词: 腹腔镜 胃 癌根治术 中转开腹 |
| 英文关键词: Laparoscope Gastric cancer radical operation Conversion to laparotomy |
| 基金项目:甘肃省科技厅科技重大专项资助项目（ 2010GS04390）； 腹腔镜胃恶性肿瘤根治术中无瘤技术的研究（1 208RJZA253） |
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| 中文摘要: |
| 目的： 分析腹腔镜胃 癌根治术中转开腹手术的原因。 方法： 回顾性分析 2011 年 1 月 ～ 2013 年 1 月 300 例采用 腹腔镜行胃 癌
根治手术患者的资料， 总结分析其中 11 例 行中转开腹手术的原因 。 结果： 因 腹腔内 出 血中转 4 例， 腹内 脏器损伤 2 例， 腹腔严重
粘连 3 例，气腹造成难以控制的高碳酸血症 1 例，器械损伤 1 例。 结论： 腹腔镜胃 癌根治术具有创伤小、恢复快、住院时间短、患者
易接受等优点，但也存在一定的中转开腹手术率，主要与 患者原因 、术者原因 和器械原因 有关。 |
| 英文摘要: |
| Objective:To investigate the cause of conversion to laparotomy in gastric cancer patients undergoing radical correction
under laparoscope.Methods:The clinical data of 300 cases of gastric cancer patients who received radical correction under laparoscope
from January 201 1 to January 201 3 were retrospectively analyzed, the causes of 1 1 cases who received conversion to laparotomy were
summarized.Results:4 cases were caused by abdominal cavity hemorrhage, 2 cases were caused by abdominal viscera injury, 3 cases
were caused by abdominal serious adhesion, 1 case was caused by pneumoperitoneum cause hypercapnia, and 1 case was caused by
equipment damage.Conclusion:Radical correction under laparoscope had the advantages of small trauma, rapid recovery, shorter
hospitalization time and easier acceptance, but there was still certain rate of conversion to laparotomy, which was mainly corrected with
the patients, operator and instrument. |
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