Laparoscopic Cholecystectomy; Conversion Rate, Experience of a Single Surgeon over 4-year period
Journal Title: Journal of Surgery and Surgical Research - Year 2017, Vol 3, Issue 2
Abstract
To evaluate the conversion rate of lap cholecystectomy and analyze the factors leading to the conversion to open surgery. Design: Observational Study Place and Duration: Department of surgery, Doctor’s Hospital and Azra Naheed Medical College Lahore, Pakistan Patients and Methods: We retrospectively analysed 250 patients admitted with gallstone disease who were deemed to be fit for laparoscopic procedure. (June 2011 through May 2016) Results: The conversion rate in our study was 2.4%. We found it to be significantly lower than the majority of studies. The conversion was mainly due to dense adhesions in Calot’s triangle, previous multiple surgeries, a case of cholecystoduodenal fistula and Mirizzi’s syndrome. The rate of conversion is higher in male patients and in acute cases. Conclusion: The conversion rate is 2.4% in all the laparoscopic cholecystectomies. Male patients and acute case has a higher probability of conversion. High volume surgeon (>100 cases) as in our study has lower than normal conversion rate.
Authors and Affiliations
Javaid Ali, Bashir Tahir, Ali Maratab
Keywords
Related Articles
- EP ID EP350168
- DOI 10.17352/2455-2968.000041
- Views 71
- Downloads 0
Functional Outcome and Life Quality after Unilateral Fixed Proximally-Based Gluteoplasty for End-Stage Fecal Incontinence
Introduction: Many patients with fecal incontinence (FI) have no treatment option except diversion. Gluteoplasty can be the ultimate resort for these patients despite unsatisfactory long term functional results. Differen...
Muscle-Sparing Thoracotomy: A Systematic Literature Review and the “AVE” Classification
Background: To synthesize the concept of muscle-sparing thoracotomies for major pulmonary resections and to explore the relationship between Kraissl’s lines and skin incisions perpendicular to them. Methods: Systematic l...
The Familial Adenomatous Polyposis. A Difficult Problem, Between Prevention and Treatment
Introduction: The familial adenomatous polyposis of the colon (FAP) is a rare hereditary disease, transmitted as an autosomal dominant trait due to the mutation of the APC gene. The purpose of the study is to assess, eve...
Retrospective Study of 710 Patients Treated with 4DDome® Mesh: A New Chance for Open Inguinal Hernia Repair
Introduction: Although mesh techniques are used with increasing frequency, they are correlated to major long-term complications such as chronic inguinal pain (8.6%) and recurrence (1.6-8.6%). It is due to a non-developme...
Complications of Hydatid Cysts in the Lung
A hydatid cyst, or echinococcus, is a zoonosis frequently formed by the larvas of Echinococcus granulosus. The disease appears as a slowly growing cystic mass and is asymptomatic. The disease is common in the Eastern, So...