Evaluation of Factors for Conversion of Laparoscopic to Open Cholecystectomy in a Tertiary Care Center
Introduction: Laparoscopic cholecystectomy is the treatment of choice for gall bladder diseases. Sometimes it has to be converted to open surgery because of various reasons. Aim: To evaluate and analyse the various factors leading to conversion of laparoscopic cholecystectomy to open cholecyst...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Pvt. Ltd.
2018-01-01
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| Series: | International Journal of Anatomy Radiology and Surgery |
| Subjects: | |
| Online Access: | http://www.ijars.net/article_fulltext.asp?issn=0973-709x&year=2018&month=January&volume=7&issue=1&page=SO09-SO12&id=2352 |
| Summary: | Introduction: Laparoscopic cholecystectomy is the
treatment of choice for gall bladder diseases. Sometimes
it has to be converted to open surgery because of various
reasons.
Aim: To evaluate and analyse the various factors leading
to conversion of laparoscopic cholecystectomy to
open cholecystectomy in cases of cholecystitis with
cholelithiasis.
Materials and Methods: A total of 505 laparoscopic
cholecystectomies were attempted in Rohilkhand
Medical College Bareilly, India from September 2014 to
August 2015. Of these 37 (7.3%) were converted to open
cholecystectomy. An analysis of different factors were
made that lead to conversion.
Result: About 7.3% of the total surgeries required
conversion. Male patients were more prone for conversion
(12.3%) as compared to females (4.9%). The most
common intraoperative finding that lead to conversion was
adhesions in 23 out of 37 (62.1%). These converted patients
were found to have more chances of injuries the common
bile duct and bowel and post-operative infections.
Conclusion: Male patient and intraoperative findings of
adhesions lead to the highest possibility of conversion
of laparoscopic to open cholecystectomy. Knowledge of
these factors helps in better preoperative counseling of
patients as well as proper surgical planning. |
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| ISSN: | 2277-8543 2455-6874 |