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Laparoscopic cholecystectomy after a quarter century: why do we still convert?

机译:四分之一世纪后的腹腔镜胆囊切除术:为什么我们仍要转换呢?

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Background Laparoscopic cholecystectomy (LC) is the gold standard procedure for gallbladder removal. However, conversion to open surgery is sometimes needed. The factors underlying a surgeon’s decision to convert a laparoscopic case to an open case are complex and poorly understood. With decreasing experience in open cholecystectomy, this procedure is however no longer the “safe” alternative it once was. With such an impending paradigm shift, this study aimed to identify the main reasons for conversion and ultimately to develop guidelines to help reduce the conversion rates.
机译:背景腹腔镜胆囊切除术(LC)是去除胆囊的金标准手术。但是,有时需要转换为开放手术。外科医生决定将腹腔镜病例转换为开放病例的因素是复杂的,人们对此知之甚少。随着开腹胆囊切除术经验的减少,该手术已不再是曾经的“安全”选择。鉴于这种迫在眉睫的范式转变,本研究旨在确定转化的主要原因,并最终制定有助于降低转化率的指南。

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