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Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
289
Risk factors for conversion to open surgery in laparoscopic cholecystectomy: A single center experience
Ali Sapmaz1, Ahmet Serdar Karaca2
1Clinic of General Surgery, Ankara City Hospital, Ankara, Turkey.
Turkish Journal of Surgery
|September 29, 2021
Summary
Laparoscopic cholecystectomy (LC) conversion to open surgery is associated with acute cholecystitis, male sex, and older age. Despite these factors, LC remains the preferred surgical intervention for gallbladder removal.
Area of Science:
- General Surgery
- Gastroenterology
- Surgical Outcomes
Background:
- Laparoscopic cholecystectomy (LC) is a common procedure for gallbladder removal.
- Understanding factors influencing conversion to open surgery is crucial for patient safety and surgical planning.
Purpose of the Study:
- To analyze demographic characteristics of patients undergoing LC.
- To determine the conversion rate to open surgery and identify associated reasons.
Main Methods:
- Retrospective review of 1,294 patient records for LC procedures.
- Analysis of demographic data, surgical indications, and conversion reasons.
Main Results:
- The overall conversion rate to open surgery was 3.16% (41 patients).
- Acute cholecystitis (29 cases) was the primary reason for conversion.
- Older age and male sex were identified as risk factors for conversion.
Conclusions:
- Acute cholecystitis significantly increases the likelihood of LC conversion to open surgery.
- Male gender and advanced age are associated with higher conversion rates.
- Laparoscopic cholecystectomy should remain the primary surgical approach.
