Factors Affecting Conversion of Laparoscopic Cholecystectomy to Open Surgery

Liu, Chi‐Leung; Fan, Sheung‐Tat; Lai, Edward C. S.; Lo, Chung‐Mau; Chu, Kent‐Man

doi:10.1001/archsurg.1996.01430130100022

Cited by 141 publications

(120 citation statements)

References 11 publications

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“…Similar results has been concluded in other studies. 6,9 In the study 63.16% patients in converted group had TLC more than 11000. Ibrahime et al and Bediril et al showed similar results.…”

Section: Resultsmentioning

confidence: 82%

Predicting the conversion of laparoscopic to open cholecystectomy: an experience in a tertiary care hospital of central India

et al. 2016

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“…Similar results has been concluded in other studies. 6,9 In the study 63.16% patients in converted group had TLC more than 11000. Ibrahime et al and Bediril et al showed similar results.…”

Section: Resultsmentioning

confidence: 82%

Predicting the conversion of laparoscopic to open cholecystectomy: an experience in a tertiary care hospital of central India

et al. 2016

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“…19 Schrenk P et al in their study have mentioned previous abdominal surgery as a risk factor predicting difficult laparoscopic cholecystectomy and higher conversion rates. 20 Michael Rosen, Fred Brody, Jeffrey Ponsky found in their series that obesity independently predicted conversion to open cholecystectomy in patients with acute cholecystitis. 21 Simopon'os et al in their study had found diabetes as a predictor of difficult laparoscopic cholecystectomy.…”

mentioning

confidence: 99%

Risk factors influencing conversion of laparoscopic cholecystectomy to open cholecystectomy

et al. 2017

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Background: Gall stone disease is a common disease affecting human beings. Over the past two decades, laparoscopic cholecystectomy has become gold standard for the surgical treatment of gallbladder disease. The advantages of laparoscopic cholecystectomy over open surgery are a shorter hospital stay, less postoperative pain, faster recovery, better cosmoses. This study was planned to identify the circumstances and the risk factors influencing the conversion of laparoscopic cholecystectomy to open procedure.Methods: This is a Prospective study conducted over a period of 24 months. A total of 50/500 patients who were electively posted for laparoscopic cholecystectomy and got converted into open cholecyctectomy were included in the study. The Factors recorded and analysed were Age and Sex of the patient, presence of diabetes mellitus, previous episode of Acute Cholecystitis, Body Mass Index, presence of abdominal scar, total count, Ultrasonagram Abdomen findings of Gallbladder wall thickness and presence of pericholecystic fluid.Results: In our study, it has been observed that Patient Related Factors - Age >50yrs, Male gender, Presence of Diabetes Mellitus, Obesity, previous Abdominal surgeries and Disease Related Factors - previous episode of Acute Cholecystitis, presence of Acute Cholecystitis, Gallbladder wall thickness >4mm, presence of Pericholecystic fluid were found to be significant risk factors in conversion of laparoscopic to open cholecystectomy.Conclusions: These risk factors help to predict the difficulty of the procedure and this would permit the surgeon to better inform patients about the risk of conversion from laparoscopic to open cholecystectomy.

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“…Advancing age was found to be a risk factor for conversion in our study (p <0.05). [1][2][3][9][10][11] Patients who had multiple attacks of acute cholecystitis (more than one) had higher chances of difficult laparoscopic cholecystectomy and conversion, probably due to dense adhesions at calot's triangle and gall bladder fossa. This was supported by Gupta N et al, Nidoni R et al, Randhawa JS et al, Ali Rizvi et al and others.…”

Section: Discussionmentioning

confidence: 99%

A study on clinical and radiological factors for predicting difficult laparoscopic cholecystectomy preoperatively

2017

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Background: Laparoscopic cholecystectomy considered as the gold standard treatment for symptomatic gall stone disease has 1-13% conversion rate to an open procedure due to various reasons. Present study aims to predict difficult laparoscopic cholecystectomy preoperatively using clinical and sonological factors.Methods: This is a prospective study done on 190 patients who were posted for laparoscopic cholecystectomy from March 2015 to February 2017. Parameters taken into consideration were: age, number of previous attacks of acute cholecystitis, impacted gallstone, thickness of GB wall, pericholecystic fluid collection, history of upper abdominal surgery and obesity. All surgeries were performed by surgeons with minimum ten years of experience on laparoscopic cholecystectomy and ultrasound of the abdomen was performed by senior radiologists with experience of minimum five years.Results: Out of 190 patients, difficulty was experienced in 48 patients of which conversion to open cholecystectomy was needed for 11 patients. Elderly age, multiple attacks of pain abdomen (>2), palpable GB, impacted gallstone, thickness of GB wall >3 mm, peri-GB fluid collection, adhesions due to previous abdominal surgery and obesity were all found to be independent risk factors leading to difficult laparoscopic cholecystectomy.Conclusions: Though there is no definite scoring system to predict difficult LC, there is scope for further refinement to make the same less cumbersome and easier to handle using the above clinical and radiological factors.

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Factors Affecting Conversion of Laparoscopic Cholecystectomy to Open Surgery

Cited by 141 publications

References 11 publications

Predicting the conversion of laparoscopic to open cholecystectomy: an experience in a tertiary care hospital of central India

Predicting the conversion of laparoscopic to open cholecystectomy: an experience in a tertiary care hospital of central India

Risk factors influencing conversion of laparoscopic cholecystectomy to open cholecystectomy

A study on clinical and radiological factors for predicting difficult laparoscopic cholecystectomy preoperatively

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