Study On Reasons Of Conversion From Laparoscopic Cholecystectomy To Laparotomy

Background and Objective: The first case of laparoscopic cholecystectomy (LC) performed by Frenchman Mouret in 1987. Now the laparoscopic surgery technique has developed for more than 20 years. It is regarded as a very mature technique, especially for cholecystectomy. Except some regions which laparoscopic surgery has not been promoted or due to some patients' financial problem, laparoscopic cholecystectomy has almost completely replaced conventional open cholecystectomy. As a relatively new and developing micro-invasive surgical technique, sometimes there may be serious intra-operation complications and need to perform conversion to open cholecystectomy. The possible reasons might be the limitation of the technique and instruments, instrumental disorders, insufficiency of surgeon's skill and experiences, etc. The logical and timely decision on conversion indicate high responsible for the patients.Some learners had studied analysis of reasons on conversion from LC to laparotomy. Conclusions had obvious difference among them as the result of sample quantity or limitation of study condition. Clinical materials of 3400 patients, which were collected in our study, were retrospectively analyzed through new statistic method. The...