Assessment of Risk Factors for Conversion in Laparoscopic Cholecystectomy Performed Due to Symptomatic Cholecystolithiasis
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View abstract on PubMed
Summary
This summary is machine-generated.Male gender, older age, type 2 diabetes, and prior acute cholecystitis increase the risk of converting laparoscopic cholecystectomy to open surgery. The Enhanced Recovery After Surgery (ERAS) protocol is safe and does not affect conversion rates.
Area Of Science
- Gastroenterology and Hepatobiliary Surgery
- Surgical Outcomes Research
Background
- Laparoscopic cholecystectomy is the standard treatment for symptomatic cholecystolithiasis.
- Conversion to open surgery is linked to increased complications and longer hospital stays.
Purpose Of The Study
- To identify preoperative risk factors for conversion during laparoscopic cholecystectomy for symptomatic cholelithiasis.
- To evaluate the impact of the Enhanced Recovery After Surgery (ERAS) protocol on surgical outcomes.
Main Methods
- Retrospective analysis of 227 patients undergoing surgery for symptomatic cholelithiasis (November 2021 - June 2023).
- Multivariate analysis to identify risk factors for conversion.
- Assessment of early surgical outcomes and ERAS protocol influence.
Main Results
- Conversion to open surgery occurred in 12.3% of cases (28/227).
- Risk factors for conversion included male gender, type 2 diabetes, older age, and history of acute cholecystitis.
- Conversion was associated with longer surgery, hospitalization, surgical site infections, and complications.
- ERAS protocol significantly reduced hospital stay (p<0.0001).
Conclusions
- Male gender, older age, type 2 diabetes, and prior acute cholecystitis are key preoperative predictors of conversion.
- The ERAS protocol is safe, does not increase conversion rates, and improves postoperative recovery.
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