A Study on the Conversion Rate of Laparoscopic Cholecystectomy to Open Cholecystectomy and Its Causes with Special Reference to Rural Population
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 4
Abstract
Today Laparoscopic cholecystectomy has replaced open cholecystectomy as the ‘gold standard’ in treatment of patients with symptomatic cholelithiasis. Advantages being relatively less pain, early ambulation, shorter hospital stay and lower incidence of incisional hernia. The condition of the patient, the level of experience of the surgeon, and technical factors all can play a role in the decision for conversion. This study was conducted in an effort to determine the conversion rate and also identify the factors responsible for conversion of laparoscopic cholecystectomy to open cholecystectomy. Hence, these findings will allow us to preoperatively discuss the higher risk of conversion and allow for an earlier judgement and decision on conversion if intra-operative difficulty is encountered. This was a prospective clinical study consisting of 112 patients undergoinglaparoscopic cholecystectomy. All patients were admitted in Bankura Sammilani Medical College and Hospital from June 2014 to May 2015. Data was collected by meticulous history taking, careful clinical examination, appropriate radiological, haematological investigation, operative findings and follow-up of the cases. In conclusion, laparoscopic cholecystectomy is a safe and minimally invasive technique, with only low conversion rate and the commonest cause of conversion in this study was the presence of dense adhesions at Calot's triangle
Authors and Affiliations
Nisith Ranjan Mallik, Supratim Bhattacharyya, Ashis Kumar Saha, Chhanda Das
Keywords
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- EP ID EP373327
- DOI 10.9790/0853-1704125157.
- Views 45
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