Risk Factors for Conversion of Laparoscopic to Open Cholecystectomy

Predictive factors for conversion of laparoscopic cholecystectomy to open cholecystectomy: a retrospective study

“…Other studies also showed similar results although in several other studies, age was found not to be one of the risk factors. 11,15,[18][19][20][21] Although the numbers of female patients were more than the males, the significance difference in the gender for conversion could not be ascertained in our study which was similar to other studies although it was in contrast to other studies where male gender was found to be more at risk. This increase was attributed to the presence of significantly more adhesions in males as well as anatomical difficulties.…”

Preoperative prediction of difficult lap chole: a scoring method

“…Age above 60 makes it diffi cult [3] and conversion is higher with increasing age [4]. We have given higher score above 50 years and found it non-signifi cant (p 0.937) possibly because of long surgical experience.…”

“…Even history of an acute attack requiring hospitalisation made the surgery diffi cult in our study (p < 0.001). There are reports of higher rate of bleeding, ductal injury and subsequent conversion in acute cholecystitis [3,4,7,9]. Clinically palpable gallbladder is not reported earlier as a predictor of diffi cult cholecystectomy.…”

Surgical management of acute cholecystitis: results of a 2-year prospective multicenter survey in Belgium

“…This could mean that, with experience, surgeons identified risks more rapidly during LC, while surgeons less skilled in laparoscopic techniques recognized that the laparoscopic approach might be technically too demanding in difficult cases of AC and preferred conversion to a primary open approach [3,[11][12][13][14]. Local disease-related factors, such as gangrenous cholecystitis or coexistent CBDS, were major predictive factors of conversion, in agreement with previous reports [13,14]. Surprisingly, women under the age of 65 years were less at risk of requiring conversion (p \ 0.001).…”