Single-centre experience in laparoscopic cholecystectomy: a review of 3575 consecutive patients with reasons for conversion

Surgical outcomes of laparoscopic cholecystectomy in scleroatrophic gallbladders

“…In our study, the conversion rate was 23.1% for patients with scleroatrophic gallbladder. This is in contrast to a conversion rate of 4.8% in 3,575 patients undergoing LC in general in our clinic (14). The high incidence of patients with wall thickening on ultrasound and ERCP findings in our present study shows that scleroatrophic gallbladders might be associated with previous attacks of acute cholecystitis or acute cholangitis.…”

“…Cheema et al (26) reported a higher incidence of bile duct injury among patients who underwent delayed LC because of fibrosis and adhesions. In our study, the incidence of intraoperatively identified major bile duct injury was 2.7%, which is much higher than the 0.03% seen in our previous study of patients undergoing LC for any reason (14). An overall postoperative complication rate of 4.8% has been reported for patients with scleroatrophic gallbladder (4).…”

“…In our previous study of patients undergoing LC for any reason, mortality was 0.14% (14). In this special patient population, the mortality was 1.0%.…”

Surgical outcomes of laparoscopic cholecystectomy in scleroatrophic gallbladders

“…Georgiades et al (25) suggested an independent relationship between inflammation and (26) reported a higher incidence of bile duct injury among patients who underwent delayed LC because of fibrosis and adhesions. In our study, the incidence of intraoperatively identified major bile duct injury was 2.7%, which is much higher than the 0.03% seen in our previous study of patients undergoing LC for any reason (14). An overall postoperative complication rate of 4.8% has been reported for patients with scleroatrophic gallbladder (4).…”