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ETIOLOGY OF CONVERSION IN LAPAROSCOPIC CHOLECYSTECTOMY

Jamini Jagdishbhai Jayswal, Chirag Parikh

Abstract


Aim: To evaluate the rate and causes of laparoscopic cholecystectomy conversion to open cholecystectomy at our institute.

Materials and Methods: Total 176 patients above the age of 18 years with symptomatic cholelithiasis, calculus cholecystitis and gallbladder (GB) stone along with common bile duct stone where the stone cleared after ERCP and stenting were included in the study. The operation was performed with standard technique. The rate, risk factors and reasons for conversion were assessed.

Results: The conversion rate was 6.25% (11 out of 176). Recurrent abdominal pain, multiple GB calculi, thickened-walled GB and peri-cholecystic fluid collection in USG were associated with high conversion rate. Common causes of conversion were bleeding (36.37%) and difficult anatomy (27.27%).

Conclusion: Prediction of difficulty during LC preoperatively may guide the surgeon to take decision to convert to open cholecystectomy, early during difficult dissection; this may shorten the duration of surgery and associated morbidity.


Keywords


Cholelithiasis, Laparoscopic cholecystectomy, Risk factors, Conversion, Open cholecystectomy, Bleeding.

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References


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