Conversion from Laparoscopic to Open Cholecystectomy

Shrestha, Samir; Shah, Surendra; Poudyal, Sanjay; Shah, Jay; Jaiswal, Vijay

doi:10.3126/jpahs.v1i1.13013

Cited by 5 publications

(6 citation statements)

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“…Open method still common procedure done for our patients in current study this is probably due to lack in instruments and in some to low experience. This agree with Shrestha et al (2014) study, who also reported several possible factors responsible for this conversion. These include age, sex, obesity, diabetes mellitus, acute cholecystitis, history of biliary diseases such as jaundice, cholangitis, history of pancreatitis (Shrestha et al 2014).…”

Section: Discussionsupporting

confidence: 92%

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Cholecystectomy for Gallstone: Types and Findings

2020

JHMN

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Gall stone disease remains a common and significant cause of suffering in most parts of the world. Gallstones are the most common biliary pathology. A descriptive study covered 80 patients underwent surgical treatment for gallstone diseases. Ultrasound study and plain abdominal X-ray were done to confirm the presence of gallstone. More than half of the sample 58.8% were in the oldest age group 50-69 year. Female were 68(85%) and the remaining 12(15%) patients were male. Most of patients 60(75.0%) operated upon by open cholecystectomy, laparoscope used in 18(22.5%). The main finding on exploring the abdomen was inflammatory adhesion in 54(67.5%) of the patients, thick wall gallbladder came next in 12 (15%) patients. Many complications and clinical findings associated with gallstone, some of them are serious other are even fatal. That is why cholecystectomy is highly indicated even for silent gallstone.

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Section: Discussionsupporting

confidence: 92%

“…Laparoscopic and open cholecystectomy were used for our patients in this study, with a conversion from laparoscopic to open procedure at a rate of 2.5%. this was less than the rate in Shrestha et al (2014) study where it was (11.1%), and less than the conversion rate of Pimpale et al (2014) study (6.57%).…”

Section: Discussioncontrasting

confidence: 58%

Cholecystectomy for Gallstone: Types and Findings

2020

JHMN

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“…In this study, difficult laparoscopic cholecystectomy confronted the surgical team in 137 patients (33.8%), which is similar to what were reported by Atta H et al (32%) [7], Mudgal M (34%) [15], as well as Singh K et al (34%) [22], and located between the two extreme ratios which were mentioned by Nidoni R et al (24.4%) [17],and Verma D et al (46%) [29]. The study showed conversion rate of 6.4%, which compares well with the incidence reported in the literature, which varies from 2-15% [6,17,21,22,23].…”

Section: Discussionsupporting

confidence: 79%

Laparoscopic cholecystectomy for gallbladder stone disease:preoperative factors associated with difficult operations

Bin-Gadeem

2021

Univ. Aden J. Nat. and Appl. Sc.

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Laparoscopic cholecystectomy become the treatment of choice for symptomatic gallstone disease. Difficult procedure may confront the surgeon, but these situations are often predictable based on a number of clinical and paraclinical factors. This study aimed to determine which clinical and paraclinical factors are associated with difficult laparoscopic cholecystectomy. Total of 405 patients with symptomatic gallstone disease, who underwent laparoscopic cholecystectomy between 1st Marc 2018 and 29th February 2020,in 22 May Hospital, Aden, were included in the study. Patient with gallbladder cancer or acalcular cholecystitis were excluded from the study. Relevant data which include clinical and paraclinical findings as well as operative findings were collected to a specially designed questionnaire form. Data analysis was done by SPSS version 17 software. Univariate analysis for categorical variables was done using Chi square or Fischer's exact test. Continuous data were tested for normal distribution and analyzed using Mann Whitney test. P- value <0.05 was considered statistically significant. Female preponderance (88.1%) was observed. Mean age was 42.6 ± 13.7. Difficult laparoscopic cholecystectomy found in 137 patients (33.8%). A statistically significant association were found between difficult laparoscopic cholecystectomy and gender (p-value <0.001), history of obstructive jaundice (p-value<0.001), previous endoscopic retrograde cholangio-pancreaticography (p-value <0.001), previous abdominal surgery (p-value =0.005), white blood cell count (p-value= 0.001), gallbladder wall thickness ≥ 4mm (p-value <0.001) , impacted stone in cystic duct (p-value <0.001), pericholecystic fluid collection (p-value <0.001), dilated common bile duct more than 7 mm (p-value =0.001), contracted gallbladder despite adequate fasting (p-value <0.001). Number of preoperative factors were identified, which have statistically significant association with difficult laparoscopic cholecystectomy. Knowledge of these factors by the surgeon before operation is imperative to make the necessary precautions before operation.

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“…Kumar A et al (1996) 13 14.3%. 4 Samir shrestha et al (2014) 14 11.14 %. Conversion rate (8.85%) is comparable with other studies whereas conversion rate in difficult cases (26.58%) is slightly higher in our study which is considerable on the basis of fact that this is an institutional study.…”

Section: Operative Timementioning

confidence: 98%

Assesment of Risk Factors Diagnostic Approach and Management in Cases Undergoing Difficult Cholecystectomies

Chandak¹,

Mitra²,

Singh³

et al. 2015

jebmh

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BACKGROUND: Laparoscopic cholecystectomy is the standard of care for the treatment of symptomatic gallbladder disease and one of the most common procedures being performed by the general surgeons all over the world. With more and more endeavors being made in the field of laparoscopy, more and more complicated cases which were relatively contraindicated a few years ago, are now being tackled laparoscopically. AIM: Aims of this study is assessment of risk factors, diagnostic approach and management of cases undergoing difficult cholecystectomies on basis of clinical, USG, preoperative, intra operative findings, duration of surgery, rate of conversion, post op complications and duration of stay in hospital. MATERIAL & METHODS: Prospective study done from June 2012 to Nov. 2014, 192 cases undergoing laproscopic cholecystectomy included in study at tertiary care hospital. RESULT: Cholecystitis or pancreatitis and thickened GB wall, PREOP ERCP are found to be significantly associated with increased risk of conversion. Obesity (BMI≥30 kg/m 2) was significantly associated with difficulty in access to the peritoneal cavity. Various factors. CONCLUSION: clinical factors like male sex, previous acute cholecystitis or pancreatitis and ultrasonographic finding of gall bladder wall thickness ≥4 mm can help to predict difficult laparoscopic cholecystectomy and likelihood of conversion of laparoscopic cholecystectomy to open cholecystectomy.

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Conversion from Laparoscopic to Open Cholecystectomy

Abstract: Introductions: With the advent of newer technology, the era of open surgery for gall bladder diseases has been preferably taken over by laparoscopic cholecystectomy. However, certain cases still require conversion to open surgery. In this review we aim to analyze the reason for conversion.

Cited by 5 publications

References 0 publications

Cholecystectomy for Gallstone: Types and Findings

Cholecystectomy for Gallstone: Types and Findings

Laparoscopic cholecystectomy for gallbladder stone disease:preoperative factors associated with difficult operations

Assesment of Risk Factors Diagnostic Approach and Management in Cases Undergoing Difficult Cholecystectomies

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