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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。
Objective: To analyze the causes of laparoscopic radical nephrectomy in laparoscopic radical nephrectomy. Methods: A retrospective analysis of 300 patients who underwent laparoscopic radical gastrectomy from January 2011 to January 2013 was performed. The causes of laparoscopic radical nephrectomy in 11 patients were analyzed. Results: In 4 cases of intraperitoneal hemorrhage transit, 2 cases of intra-abdominal organ injury, 3 cases of severe abdominal adhesions, 1 case of uncontrolled hypercapnia caused by pneumoperitoneum and 1 case of mechanical injury. Conclusions: Laparoscopic radical gastrectomy has the advantages of small trauma, fast recovery, short hospital stay, and easy acceptance of patients. However, there is also a certain rate of conversion to open laparotomy, which is mainly related to the causes of the patients and the causes of the patients and the causes of the instruments.