Using a risk score for conversion from laparoscopic to open cholecystectomy in resident training

Laparoscopic Cholecystectomy Requires Conversion in Few Patients Only: A Prospective Study of 370 Patients

“…The two most common reasons of conversion are dense adhesions at Calot's triangle and acute cholecystitis as suggested in the literature. 6,9,14,15 This is also in correspondence to our present study. It is important to note while selecting the patients for LC that chronic inflammation and repeated attacks of acute cholecystitis lead to dense adhesion formation and thus dissection at Calot's triangle may sometimes become very difficult and necessitates the conversion into open procedure.…”

Pre and per operative prediction of difficult laparoscopic cholecystectomy using clinical and ultrasonographic parameters

“…7,8 The need for conversion to laparotomy is neither a failure nor a complication, but an attempt to avoid complications and ensure patient safety. 9 The risk of conversion to OC is related to surgeon factors, patient factors and, possibly, equipment factors. The most common reason for conversion in our study was inability to delineate the anatomy due to dense adhesions.…”

Preoperative risk factors for conversion from laparoscopic to open cholecystectomy: a validated risk score derived from a prospective U.K. database of 8820 patients

“…Low risk patients could be identified and appropriately scheduled in an ambulatory care facility, and selected as training cases for surgical trainees, 9 whilst high risk patients should be appropriately counselled and operated by experienced surgeons. The majority of studies that have evaluated risk factors for conversion to open cholecystectomy are small retrospective series or population-based databases [1][2][3][4]6,7,[10][11][12][13][14] (Table 1).…”