Home|Journals|Articles by Year|Audio Abstracts
 

Original Research

RMJ. 2020; 45(1): 92-95


Determinants of conversion of laparoscopic cholecystectomy to open cholecystectomy

Abdul Ghani Shaikh, Aijaz Ahmed Memon, Saeed Ahmed Shaikh, Abdul Ghaffar Pirzado.




Abstract

Objective: To determine the reasons for conversion of laparoscopic cholecystectomy to open cholecystectomy.
Methodology: This descriptive study was performed at department of Surgery, Chandka Medical College Teaching Hospital/Shaheed Mohtarma Benazir Bhutto Medical University, Larkana, Pakistan from July 2011 to June 2016. All patients with gall stones, acute and chronic cholecystitis aged 15 years & above underwent laparoscopic cholecystectomy.
Results: Out of 1775 patients in this study, 1322(74.4%) were females and 453(25.6%) males. Age ranged from 22 to 65 years (mean 44±13.7). Out of 1775 patients, 35(1.97%) required conversion to open and among these, 24(1.81%) were females and 11(2.42%) were males (P= 0.3897). The most common reason for conversion to open was dense adhesions due to cholecystitis in 9(0.50%) patients followed by obscure anatomy with severely inflammed gall bladder in 8(0.45%) patients, 6(0.33%) patients with empyma gall bladder, 5(0.28%) patients due to suspicion of bile duct injury, 4(0.22%) patients due to duodenal injury and 2(0.11%) with cholecysto-enteric fistula.
Conclusion: In this study, 2% patients required conversion to open and the frequent reasons were dense adhesions and obscure anatomy.

Key words: Laparoscopic cholecystectomy, conversion, reasons.






Full-text options


Share this Article


Online Article Submission
• ejmanager.com




ejPort - eJManager.com
Refer & Earn
JournalList
About BiblioMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Bibliomed are open access articles licensed under Creative Commons Attribution 4.0 International License (CC BY), which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.