RISK FACTORS AND REASONS OF CONVERSION FROM LAPAROSCOPIC TO OPEN HOLECYSTECTOMY

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Jamshed Alam
Nisar Ahmad
Muhib Ullah
Abubakar Siddique

Abstract

Objective: To identify the frequency, associated risk factors and intraoperative reasons for conversion of Laparoscopic Cholecystectomy to open Cholecystectomy.


Study Design: Case series study.


Setting: General Surgery Department Hayatabad Medical Complex Peshawar.


Study duration: January 2021 to December 2021.


Material & Methods: The research comprised a total of 160 patients who were planned for laparoscopic cholecystectomy. ASA score, demographic information, Physical health status, Ultra sonogram Abdomen findings and the presence of pericholecystic fluid were all documented. Internal bleeding, visceral injury, equipment failure, and injury to the common bile duct were all reasons for converting from laparoscopic to open cholecystectomy.


Results: Total 160 patients undergoing either elective or emergency laparoscopic cholecystectomy were included in the study. Age ranged between 21-65 years with a mean age of 43 years ± 14.92 SD. Out of 160, 8(5%) patients required conversion from laparoscopic to open cholecystectomy, while 152(95%) surgeries performed successfully. The most common reason of conversion was dense inflammation in the calot’s triangle 3(1.9%), followed by Mirrizi syndrome 2(1.2%), 1(0.6%) patient had ambiguous anatomy and 2(1.2%) patients were converted due to hemorrhage.


Conclusion: The most common reasons for conversion to open cholecystectomy are dense inflammation and adhesions, followed by mirrizi syndrome and hemorrhage.

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