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Laparoscopic cholecystectomy complication and conversion rate.

B R Malla1, R K M Shrestha

  • 1Department of Surgery, Dhulikhel Hospital - Kathmandu University Hospital, Dhulikhel, Nepal. mallabr504@yahoo.com

Kathmandu University Medical Journal (KUMJ)
|May 22, 2012
PubMed
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Laparoscopic cholecystectomy is a safe and reliable surgery for gallstones. This study found low complication and conversion rates at Dhulikhel Hospital, Nepal, highlighting the importance of surgical experience.

Area of Science:

  • Surgical Gastroenterology
  • Minimally Invasive Surgery

Background:

  • Laparoscopic cholecystectomy is the standard treatment for gallstones.
  • Variability in complication and conversion rates across different surgical centers is noted.

Purpose of the Study:

  • To evaluate the complications and conversion rate of laparoscopic cholecystectomy.
  • Study conducted at Dhulikhel Hospital, Kathmandu University, Nepal.

Main Methods:

  • Retrospective review of 119 laparoscopic cholecystectomy cases from January 2005 to December 2009.
  • 102 cases with complete information were included in the analysis.

Main Results:

  • The study included 102 patients, with 80% being female.
  • Symptomatic cholelithiasis accounted for 76.47% of cases.

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  • Postoperative complications occurred in 5.88% of patients, with a 3.92% conversion rate to open cholecystectomy.

    • Conclusions:

    • Laparoscopic cholecystectomy demonstrates reliability and safety.
    • Increasing surgical experience can minimize complications and conversion rates.
    • Potential for more severe biliary injuries exists beyond the learning curve.