Analysis of Laparoscopic Cholecystectomies in 606 Patients: Experience at King Fahad Hospital, Medina

Al-Saigh, A.; Fadl-Elahi, Faiza A. Khaliq; Maqboolfazili, Fiaz

doi:10.5144/0256-4947.1996.392

Cited by 2 publications

(3 citation statements)

References 18 publications

(33 reference statements)

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“…A survey performed in the US showed a risk of vascular injury of 0.5%, while the rate of visceral injury was between 0% and 0.4% 25. The reported incidence of bile duct injury is between 0% to 1% in LC 22232627. In our study the incidence was 0.6%.…”

Section: Discussionsupporting

confidence: 45%

“…Takegami et al20 reported a conversion rate of 13% in LC performed by general surgeons and 2% in LC performed by specialized surgeons, suggesting that the skill of the operator has a large influence on the conversion rate. Meshikhes et al21 and Al-Saigh et al22 from Saudi Arabia reported a conversion rate of 11% in their cases, the most common cause of conversion being difficult anatomy. Conversion from LC to open cholecystectomy was required in 5% of our patients.…”

Section: Discussionmentioning

confidence: 94%

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Rate of conversion and complications of laparoscopic cholecystectomy in a tertiary care center in Saudi Arabia

Ghnnam

Malek²,

Shebl³

et al. 2010

Annals of Saudi Medicine

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BACKGROUND AND OBJECTIVES:Problems during laparoscopic cholecystectomy include bile duct injury, conversion to open operation, and other postoperative complications. We retrospectively evaluated the causes for conversion and the rate of conversion from laparoscopic to open cholecystectomy and assessed the postoperative complications.METHODS:Of 340 patients who presented with symptomatic gall bladder disease over a 2-year period, 290 (85%) patients were evaluated on an elective basis and scheduled for surgery, while the remaining 50 (14.7%) patients were admitted emergently with a diagnosis of acute cholecystitis.RESULTS:The mean age of the patients was 41.9 (12.6) years. Conversion to laparotomy occurred in 17 patients (5%). The incidence of complications was 3.2%. The most common complication was postoperative transient pyrexia, which was seen in four patients (1.2%) followed by postoperative wound infection in three patients (0.9%), postoperative fluid collection and bile duct injury in two patients each (0.6%).CONCLUSION:Laparoscopic cholecystectomy remains the ‘gold standard’ by which all other treatment modalities are judged. Conversion from laparoscopic to open cholecystectomy should be based on the sound clinical judgment of the surgeon and not be due to a lack of individual expertise.

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Section: Discussionsupporting

confidence: 45%

Section: Discussionmentioning

confidence: 94%

Rate of conversion and complications of laparoscopic cholecystectomy in a tertiary care center in Saudi Arabia

Ghnnam

Malek²,

Shebl³

et al. 2010

Annals of Saudi Medicine

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show abstract

“…7 A conversion rate of 11% in their cases, the most common cause of conversion being difficult anatomy. 8,9 Conversion from LC to open cholecystectomy was required in 5% in another study by Wagih et al 10 Several complications related to anesthesia, peritoneal access, pneumoperitoneum, surgical exploration, and thermocoagulation have been reported during LC, and these complications and several other factors can necessitate the conversion from LC to open cholecystectomy (OC). Although there are several studies reporting various rates of the causes of this worldwide medical problem, every institution must have a thorough understanding of the rate and causes of conversion to open surgery based on culture and geography, in addition to an understanding of conversion within the institution.…”

Section: Introductionmentioning

confidence: 99%

Factors resulting in conversion of laparoscopic cholecystectomy to open cholecystectomy-institution based study

Awan¹,

Hamid²,

Mir³

et al. 2017

Int Surg J

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Background: Laparoscopic surgery has revolutionized the way it is performed for an increasing number of patients. In this study, we determined the various reasons for conversion of laparoscopic cholecystectomy in our setup.Methods: This was a descriptive study, conducted at Government Medical College Srinagar, Frommay 2015 to June 2017. The study included 450patients with symptomatic cholelithiasis, who underwent laparoscopic cholecystectomy. All patients were operated by experienced laparoscopic surgeons with experience of more than 300 Laparoscopic cholecystectomies. Cases that required conversion from laparoscopic to open surgery were analyzed and the factors possible for such conversion were studied.Results: The mean age of patients was 45.6 years and male to female ratio 1:3.8. The mean operating time was 49 minutes and average hospital stay was 2 days. Out of 450 patients, 26(5.8%) required open conversion. Factors responsible for open conversion were dense adhesions in 12(2.7%), obscure anatomy at clot’s triangle in 6, (1.3%), significant intra-operative bleeding 5 (1.1), CBD injury 1(0.2%), visceral injury 1 (0.2%), and instrument failure in 1(0.2%) conversions.Conclusions: Open conversion rate of laparoscopic cholecystectomy in this study was 5.8%. The commonest cause of conversion was dense adhesions around the gall-bladder. Preventable factors like instrument failure or power breakdown can be addressed by a reliable back up.

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Analysis of Laparoscopic Cholecystectomies in 606 Patients: Experience at King Fahad Hospital, Medina

Cited by 2 publications

References 18 publications

Rate of conversion and complications of laparoscopic cholecystectomy in a tertiary care center in Saudi Arabia

Rate of conversion and complications of laparoscopic cholecystectomy in a tertiary care center in Saudi Arabia

Factors resulting in conversion of laparoscopic cholecystectomy to open cholecystectomy-institution based study

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