Prospective study of predictive factors for conversion of laparoscopic cholecystectomy to open surgery
DOI:
https://doi.org/10.18203/2349-2902.isj20223595Keywords:
Conversion, LC, Open surgery, Risk factorsAbstract
Background: Gallstone diseases are a common gastrointestinal illness in the general population that frequently requires hospitalization with a prevalence of around 11% to 36% The goal of this study was to determine the conversion rate and identify the factors responsible for the conversion of laparoscopic cholecystectomy (LC) to open cholecystectomy (OC).
This study intends to evaluate the causes of conversion from LC to OC and to establish the efficacy and safety of the procedure.
Methods: This case series was conducted in the department of general surgery at Gujarat Adani institute of medical science, Bhuj, Gujarat from October 2018 to July 2020. Patients more than 18 years of age presenting with OPD with symptomatic gallstones and patients with acalculous cholecystitis were included in the study. Patients with dilated CBD (>8 mm in diameter), jaundice, gallbladder malignancy, and perforated gallbladder were excluded.
Results: A total of 100 patients were included in the study; 68 were females and 32 were males. Eleven (11%) patients were converted to OC. The most common cause of conversion was dense adhesions followed by obscure anatomy at Calot's triangle. Other common causes were bleeding, bile leakage, visceral injuries, and instrument failure
Conclusions: Most common cause of conversion from LC to OC was dense adhesions causing obscure anatomy at Calot's triangle followed by bleeding and CBD injury.
References
Kama NA. Risk factors resulting in conversion of laparoscopic cholecystectomy to open surgery. Surg. Endosc. 2001;15:965-8.
Alponat A. Predictive factors for conversion of laparoscopic cholecystectomy. Word J Surg. 1997;629-33.
Ercan M, Bostanci EB, Teke Z. Predictive factors for conversion to open surgery in patients undergoing elective laparoscopic cholecystectomy. J Laparoendosc Adv Surg Tech A. 2010;422-7.
Warchalowski M, Lukasz S. The Analysis of Risk Factors in the Conversion from Laparoscopic to Open Cholecystectomy. Ijerph J. 2020;10.
Al Masri S. Predicting Conversion from Laparoscopic to Open Cholecystectomy: A Single Institution Retrospective Study. World J Surg. 2018;1.
Kama NA, Kologlu M, Doganay M, Reis E, Atli M, Dolapei M. A risk score for conversion from laparoscopic to open cholecystectomy. Am J Surg. 200;180,520-5.
Livingston EH, Rege RV. A nationwide study of conversion from laparoscopic to open cholecystectomy. Am J Surg. 2004;188-205.
Rosen M, Brody F, Ponsky J. Predictive factors for conversion of laparoscopic cholecystectomy. Am J Surg. 2002;184:254-8.
Sippey M, Grzybowski M, Manwaring ML. Acute cholecystitis: risk factors for conversion to an open procedure. J Surg Res. 2015;199:357-61.
Stanisic V, Milicevic M, Kocev N, Stojanovic M, Vlaovic D, Babic I et al. Prediction of difficulties in laparoscopic cholecystectomy on the base of routinely available parameters in a smaller regional hospital. Eur Rev Med Pharmacol Sci. 2014;18:1204-11.
Lipman JM, Claridge JA, Haridas M, Martin MD, Yao DC, Grimes KL et al. Malangoni MA Preoperative findings predict conversion from laparoscopic to open cholecystectomy. Surgery. 2007;142:556-63.
Raman SR, Moradi D, Samaan BM. The degree of gallbladder wall thickness and its impact on outcomes after laparoscopic cholecystectomy. Surg Endosc. 2012;26:3174-9.
Kama NA. Risk factors resulting in conversion of laparoscopic cholecystectomy to open surgery. Surg Endosc. 2001;5.
Lee NW. Evaluation of preoperative risk factors for converting laparoscopic to open cholecystectomy. Am Surgeon. 2012;78:831-3.
Wiebke EA, Pruitt AL, Howard TJ, Jacobson LE, Broadie TA, Goulet RJ. Conversion of laparoscopic to open cholecystectomy. An analysis of risk factors. Surg Endosc. 1996;10:742-5.
Fried GM, Barkun JS, Sigman HH, Joseph L, Clas D, Garzon J et al. Factors determining conversion to laparotomy in patients undergoing laparoscopic cholecystectomy. Am J Surg. 1994;164:35-41.
Rosen M, Brody F, Ponsky J. Predictive factors for conversion of laparoscopic cholecystectomy. Am J Surg. 2002;184:254-8.
