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目的：探讨腹腔镜胆囊切除（LC）术中转开腹原因及预防应对措施。方法回顾性分析句容市中医院2008年1月至2012年12月行 LC 术634例中中转开腹16例患者的临床资料。结果16例中转开腹患者均痊愈出院，住院时间10~21 d，平均15?8 d。术后随访0?5~2年，无严重并发症发生，胆囊癌术后1年死亡。中转原因：炎性粘连9例，解剖变异2例，胆囊床广泛渗血1例，胆管损伤2例，胆囊癌1例，设备故障1例。结论严格掌握 LC 手术适应证，提高腹腔镜操作技术，把握中转开腹时机，可有效减少或避免并发症的发生。“,”Objective To study the reasons and preventive measures of laparoscopic cholecystectomy converted to open chole_cystectomy. Methods To retrospectively analyze the clinical data of 16 cases in 634 cases received LC surgery and converted to open cholecystectomy in Jurong traditional Chinese medical hospital from January 2008 to December 2012. Results Sixteen ca_ses who converted to open cholecystectomy were recovered and discharged,and the length of hospital stay lasted for 10 d to 21 d, for average of 15. 8 d. The 0. 5 _ 2 years postoperative follow_up was carried out,no serious complication occurred,patients with gallbladder died one year later. Transfer reasons:9 cases of inflammatory adhesion,2 cases of anatomical variations,1 case of gallbladder bed widely seeped,2 cases of bile duct injury,1 case of gallbladder cancer,1 case of equipment failure.Conclusion Controlling of the indications of LC surgery strictly can improve the technique of laparoscopic operation,grasping the best opportunity of transfer laparotomy,and can effectively reduce or avoid the occurrence of complications.