9. A Study Of Laparoscopic Cholecystectomy, Rate Of Conversion And Factors Influencing For Conversion In Rural Setup-A Retrospective Study

Mohandhas G, Gunasekaran A, Jeyakumari D

ABSTRACT

Background & Objectives: Laparoscopic Cholecystectomy (LC) provides a safe and effective treatment for most patients with symptomatic gallstones. The goal of both Laparoscopic Cholecystectomy and Open Cholecystectomy (OC) is to remove the gallbladder with low mortality, little morbidity and early recovery. LC is the gold standard treatment for gall bladder diseases, conversion to OC is obligatory in significant proportion of cases. Hence the aim of our study is to know the conversion rate of LC to open surgery and to know the factors responsible for the conversion. Methods: A retrospective study in a sample size of n=116. The data was collected from the patient record underwent LC. Results: The males were 37/116 (31.8%) and females 79/116 (68.1%). Age ranged from 20-70 years. The LC was converted to open cholecystectomy in 10 (8.6%) patients. The factors associated with conversion were adhesions (5.1%), fibrosis of Calot’s triangle (1.7%), Cystic artery injury (0.8%) and bile duct injury (0.8%). Interpretation & Conclusion: Laparoscopy to open surgery conversions though associated with a prolonged hospital stay, the post-operative period was uneventful in all the cases. So with predictive factors and unexpected complications conversion is mandatory to reduce the morbidity and further complications.

Key-words: conversion rate, factors causing conversion, laparoscopy cholecystectomy, open cholecystectomy.

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