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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
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.
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.
