Causes of Conversion of Laparoscopic Cholecystectomy to open Cholescystectomy
Journal Title: Medpulse International Journal of Surgery - Year 2018, Vol 6, Issue 1
Abstract
Problem statement: Cholecystitis is a global phenomenon prevailing more or less all over the world. Laparoscopic cholecystectomy has rejuvenated general surgery and in very short time has become the gold standard operation for gallbladder. But every rose has its thorns. So although introduction of laparoscopic cholecystectomy has dramatically affected the management of patients with biliary disease, but still there are numerous challenges and unanswered questions that remain regarding issues related to application of laparoscopic techniques to this very common clinical disorder. Methods: Our research work was conducted on one hundred cases during the period from December 2016 to October 2017 in the Department of Surgery M.G.M. Medical College and L.S.K. Hospital Kishanganj, Bihar, with the aim of detecting the causes of conversion of la aroscopic cholecystectomy to open cholecystectomy. Result: Highest incidence of Chronic calculus cholecystitis was detected in the age group of 41 – 50 years (38%) but highest incidence of conversion rate in age group of 51-60 years (19.44%) The ratio of sex incidence was found to be female and male was 1.77: 1 with conversion rate about 1.8: 1 ratio. The presenting features were flatulent dyspepsia (82%) and multiple episodes of pain (biliary colic) in right hypochondrium 69%. Patients with history of multiple episodes of pain in right hypochondrium had higher incidence of conversion rate 17.39% than that of flatulent dyspepsia 10.37%).Conclusion: Our main aim should be to send the patient home in a good healthy status. As the margin of error in our biliary surgery is very narrow, so without increasing postoperative morbidity it will be our better surgical judgment to convert the case to open surgery if laparoscopic surgery is not feasible due to dense adhesion or bleeding.
Authors and Affiliations
Kumar Koustuv
Keywords
Related Articles
- EP ID EP361257
- DOI -
- Views 159
- Downloads 0
A study of necrotizing fasciitis with reference to mortality and its associated factors
Background: Necrotizing fasciitis (NF) or infections. Aims and Objectives: Methodology: Consecutive patients with ward of Govt. Medical Collage Hospital between June 2013 to June 2014 form the basis of this study The sta...
Clinical profile of hollow viscous injury
Injuries to the small bowel are present in approximately 25-30% of the patients who require laparotomy after penetrating trauma. Stab injuries are usually less severe than gunshot or blunt mechanisms of injury. In most p...
Post endoscopic retrograde cholangiopancreatography optimal timing for laparoscopic cholecystectomy
Background: Endoscopic retrograde cholangiopancreatography (ERCP) followed by laparoscopic cholecystectomy (LC) makes up the current way of treating disease in patients with common bile duct (CBD) stones. The best period...
A study of clinical profile of patients with bile stone at tertiary health care centre
Background: Diseases of the gallbladder are common and costly. Gallstone disease is a chronic recurrent hepatobiliary disease, the basis for which is the impaired metabolism of cholesterol, bilirubin and bile acids, whic...
Comparison between medical and non-medical college students on the level of stress
Stress is anunpleasant emotional state which caused by both internal and external factors. Stress affects people in different ways and levels. College students, especially those who joined after schooling faces many issu...