A STUDY OF PRE-OPERATIVE FACTORS INFLUENCING CONVERSION IN LAPAROSCOPIC CHOLECYSTECTOMY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2019, Vol 8, Issue 14
Abstract
BACKGROUND Laparoscopic Cholecystectomy has now become the Gold Standard treatment for cholelithiasis. The aim of this study is to know the role of pre-op risk factors involved in the conversion of laparoscopic cholecystectomy to open cholecystectomy. METHODS This was a longitudinal study conducted in surgical unit of Sri Siddhartha Medical College. All the patients who had right hypochondriac pain and diagnosed with cholelithiasis on USG were included in the study. All the patients have been operated by surgeons who had at least 10 years of experience and/or performed more than 25 laparoscopic cholecystectomies at Sri Siddhartha Medical College Hospital and Research Centre, according to the inclusion & exclusion criteria mentioned below. RESULTS Among 90 patients included in the study who were admitted for laparoscopic cholecystectomy. 9 (10%) had undergone conversion. Four out of seventy two patients whose age was below 50 years had undergone conversion and rest had undergone successful laparoscopic cholecystectomy. Five out of eighteen patients whose age was above 50 years had undergone conversion and the rest had undergone successful laparoscopic cholecystectomy. Six out of thirty five male patients had undergone conversion and the rest had successful laparoscopic cholecystectomy. Three out of fifty five female patients had undergone conversion. Three out of five obese patients have undergone conversion while six out of eighty five non-obese patients had undergone conversion. Three out of seventeen patients with characteristics of cholecystitis underwent conversion while six out of seventy three patients underwent conversion. Two out of seven patients with concurrent choledocholithiasis underwent conversion while seven out of eighty three patients without choledocholithiasis underwent conversion. CONCLUSIONS Male sex, age >50 yrs., obesity (BMI>35 Kg/m2), cholecystitis and concurrent choledocholithiasis are considered to be the risk factors for conversion of laparoscopic cholecystectomy to open cholecystectomy
Authors and Affiliations
Ravi Teja Mullangi, Kiran Kumar K. M
Keywords
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- EP ID EP557202
- DOI 10.14260/jemds/2019/244
- Views 61
- Downloads 0
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