2012
DOI: 10.1177/000313481207801233
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Abstract: Laparoscopic cholecystectomy is the gold standard treatment for benign gallbladder pathologies. In certain circumstances, the procedure must be converted to open to safely complete the operation. This study aims to evaluate the reasons for conversion of this operation in the current era of laparoscopic surgery. A retrospective review of medical records was undertaken to identify all laparoscopic converted to open cholecystectomy performed at a single center over a 2-year period. Reasons for conversion, surgeon… Show more

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Cited by 46 publications
(29 citation statements)
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“…20,21 Our conversion rate was 10.5% in LC patients with severe cholecystitis and 1% in all other patients, which is lower than what has been reported in recent literature. 7,22 Open cholecystectomy should be considered if laparoscopic access cannot be attained; however, the trend toward fewer open cases in residency and beyond is undeniable. LSC fits with the current model of technical training for most surgical residents, where comfort with laparoscopy has progressed and open cholecystectomy is no longer the more practised operation.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…20,21 Our conversion rate was 10.5% in LC patients with severe cholecystitis and 1% in all other patients, which is lower than what has been reported in recent literature. 7,22 Open cholecystectomy should be considered if laparoscopic access cannot be attained; however, the trend toward fewer open cases in residency and beyond is undeniable. LSC fits with the current model of technical training for most surgical residents, where comfort with laparoscopy has progressed and open cholecystectomy is no longer the more practised operation.…”
Section: Discussionmentioning
confidence: 99%
“…Conversion rates were as high as 38% in the 1990s for acute cholecystitis but have since dropped to as low as 2.6%. 7,8 This trend toward fewer open cholecystectomies is evident both in practice and in resident training. A recent study showed that the mean number of open cholecystectomies done at a single academic centre by residents in their chief year has dropped from 70.4 to 3.6 in the last 3 decades.…”
mentioning
confidence: 99%
“…11 If the bile duct is mistaken for the cystic duct, IOC can itself lead to an incision causing Strasberg type D BDI. [11][12][13][14] A study by Biffl et al showed that the routine use of LUS was associated with a lack of complications from bile ducts, while 2.5% of the patients who underwent surgery without LUS had bile complications; there were also fewer conversions in the LUS group. 15 Machi et al reported that in 1,381 LCs with routine use of LUS, no BDI was observed and the conversion rate was lower (6%); additional IOC was necessary in only 2% of the cases.…”
Section: Discussionmentioning
confidence: 99%
“…However, these complications may arise unexpectedly at any time during the operation and can cause a disruption in the procedural flow (1-2). Intraoperative bleeding is among the main reasons for conversion to open surgery, and can result in an acute intraoperative crisis with severe consequences for the patient (3).…”
Section: Introductionmentioning
confidence: 99%