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Laparoscopic Cholecystectomy: Conversion Rate and Associated Factors for Conversion.

B R Malla¹, Y R Shakya¹, N Rajbhandari¹

¹Department of Surgery, Dhulikhel Hospital, Kathmandu University Hospital, Dhulikhel, Kavre, Nepal.

Kathmandu University Medical Journal (KUMJ)

|December 11, 2020

Summary

This summary is machine-generated.

Laparoscopic cholecystectomy is a safe gallbladder surgery with a low conversion rate (1.86%) to open surgery. Acute cholecystitis predicts conversion, but complications remain minimal.

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Area of Science:

General Surgery
Gastroenterology

Background:

Laparoscopic cholecystectomy is the standard treatment for gall bladder disease.
Conversion to open cholecystectomy occurs in some cases, with varying rates and reasons reported globally.

Purpose of the Study:

To determine the conversion rate of laparoscopic cholecystectomy to open surgery.
To identify postoperative complications associated with the procedure.
To investigate factors predicting conversion to open surgery.

Main Methods:

A retrospective study analyzed 644 laparoscopic cholecystectomy cases from Dhulikhel hospital (2015-2016).
Patient demographics, indications, conversion rates, reasons for conversion, and postoperative complications were reviewed.

Main Results:

The overall conversion rate was 1.86%, with "frozen calot's triangle" being the most frequent reason.
Postoperative complications occurred in 1.24% of cases, with no major bile duct injuries.
Acute cholecystitis was identified as a significant predictor for conversion to open surgery.

Conclusions:

Laparoscopic cholecystectomy is a safe procedure with low conversion and complication rates.
Understanding predictive factors aids surgeons and patients in treatment planning for gall bladder disease.