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Laparoscopic cholecystectomy: rate and predictors for conversion.
1Department of Surgery, King Abdulaziz University Hospital, Jeddah, Saudi Arabia.
Summary
Laparoscopic cholecystectomy (LC) is a safe procedure with a 97.2% success rate. Acute cholecystitis significantly increases the risk of conversion to open cholecystectomy (OC), but no mortalities occurred.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
Background:
- Laparoscopic cholecystectomy (LC) is the standard surgical treatment for symptomatic gallstones.
- Conversion to open cholecystectomy (OC) can occur, necessitating identification of predictive factors.
Purpose of the Study:
- To evaluate the safety and efficacy of LC.
- To identify predictors for conversion from LC to OC.
- To assess the suitability of LC for ambulatory day care.
Main Methods:
- Retrospective analysis of 847 patients undergoing attempted LC.
- Documentation of conversion rates and reasons.
- Statistical analysis to identify predictors of conversion.
Main Results:
- Successful LC in 97.2% of patients (823/847).
- Conversion rate to OC was 2.8% (24/847).
- Acute cholecystitis was the primary reason for conversion (13/24), posing a fivefold increased risk (p<0.001).
- Age and sex were not significant predictors for conversion.
- No mortalities or major bile duct injuries were reported.
Conclusions:
- LC is a safe and effective procedure with a low conversion rate.
- Acute cholecystitis is a key factor predicting conversion to OC.
- Findings support patient selection for ambulatory LC.
