A Study of Predictive Factors in Laparoscopic Cholecystectomy Determining Conversion to Open Cholecystectomy With Special Reference to Body Mass Index

Abstract

Laparoscopic cholecystectomy is regarded/considered as the gold standard treatment for symptomatic gall stone disease. Beside the advantages of decreased postoperative pain, better cosmetic results, decreased length of hospital stay, early return to work and decreased total hospital cost; the procedure is also associated with a definitive learning curve. There are many preoperative factors that can predict a difficult laparoscopic cholecystectomy which includes both clinical (Increasing age, male sex, history of acute pancreatitis) and ultrasonological factors (Contracted gall bladder, thickened gall bladder wall, impacted stone at neck of gall bladder). In today ' s world due to sedentary life style we are coming across patients with higher BMI even in socioeconomically weaker class which is a constrain in a successful laparoscopic surgery. We studied the correlation of Body Mass Index (BMI) with performance of laparoscopic cholecystectomy.

To study the conversion rate of laparoscopic cholecystectomy to open cholecystectomy and its causes

“…Females comprised the majority of cases (70%), while males had a higher risk of conversion. This finding aligns with the observations made by Hutchinson et al, Liu et al, and Jeremy, who all identified male gender as a predictor for conversion [10][11][12] .…”