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Related Experiment Videos

Laparoscopic cholecystectomy conversion rates two decades later.

Sujit Vijay Sakpal1, Supreet Singh Bindra, Ronald S Chamberlain

  • 1Department of Surgery, Saint Barnabas Medical Center, Livingston, New Jersey, USA.

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|May 25, 2011
PubMed
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Laparoscopic cholecystectomy conversion rates remain high. Factors like male sex, older age, and low surgeon volume increase the likelihood of converting to open surgery.

Area of Science:

  • General Surgery
  • Minimally Invasive Surgery

Background:

  • Laparoscopic cholecystectomy is a common procedure, yet conversion rates to open surgery persist between 5% and 10% nationally.
  • Understanding factors influencing conversion is crucial for improving surgical outcomes.

Purpose of the Study:

  • To identify patient- and surgeon-specific factors associated with conversion from laparoscopic cholecystectomy to open surgery.

Main Methods:

  • A retrospective analysis of 2205 laparoscopic cholecystectomies performed at a tertiary community hospital between May 2004 and October 2008.
  • Evaluation of patient demographics and surgeon characteristics in relation to conversion rates.

Main Results:

  • The overall conversion rate was 4.9%.

Related Experiment Videos

  • Adhesions, often linked to prior abdominal surgery, were the primary reason for conversion.
  • Male patients, individuals over 50, and those operated on by lower-volume surgeons exhibited significantly higher conversion rates.
  • Surgeons with fellowship training or those completing residency post-1990 had lower conversion rates, though technical difficulty conversions were higher in the latter group.

    • Conclusions:

    • Approximately 5% of laparoscopic cholecystectomies are converted to open procedures.
    • Patient age, sex, and surgeon volume are key predictors of conversion.
    • While some surgeon-specific factors influence conversion, others like fellowship training show nuanced effects on conversion reasons.