CAJ | 학술논문

　　目的：探讨腹腔镜阑尾切除术(1aparoscopic appendectomy，LA)中转开腹的原因。方法：回顾性分析215例腹腔镜阑尾切除术术中10例中转开腹患者的临床资料。结果：中转开腹的主要原因：阑尾慢性炎症(5/10)，阑尾根部坏疽穿孔(2/10)，阑尾粘液囊肿(2/10)，回盲部炎性包块(1/10)。结论：慢性阑尾炎因为粘连较重，肿大明显，是中转开腹的主要因素；其次原因是根部的坏疽、穿孔。对于上述情况，术前应该做好充分的思想准备，并与患者做好沟通，术中准确判断是否中转手术，减少手术意外。
　　목적：탐토복강경란미절제술(1aparoscopic appendectomy，LA)중전개복적원인。방법：회고성분석215례복강경란미절제술술중10례중전개복환자적림상자료。결과：중전개복적주요원인：란미만성염증(5/10)，란미근부배저천공(2/10)，란미점액낭종(2/10)，회맹부염성포괴(1/10)。결론：만성란미염인위점련교중，종대명현，시중전개복적주요인소；기차원인시근부적배저、천공。대우상술정황，술전응해주호충분적사상준비，병여환자주호구통，술중준학판단시부중전수술，감소수술의외。
Objective:To investigate the reasons of laparoscopic appendeetomy(LA) conversion to laparotomy.Methods:The retrospective analysis was made on the clinical data of 10 cases conversion to laparotomy in 215 patients who underwent LA.Results:The reasons of conversion to laparotomy mainly included chronic appendicitis(5/10),gangrene and punch at root of appendix(2/10),appendiceal mucoceles(2/10),ileocecal inflammatory mass(1/10).Conclusion:The main reasons of conversion are chronic appendicitis,because of the serious conglutination and swelling.Secondary cause is gangrene and punch at root of appendix. There should be full-prepared and enough doctor-patient communication for such situation before the operation,we should also do an accurate judgement for either conversion to laparotomy or not during the process to reduce operation accident.