LAPAROSCOPIC CHOLECYSTECTOMY; IS CONVERSION REALLY A COMPLICATION- A PROSPECTIVE STUDY TO EVALUATE COMPLICATIONS AND CONVERSION RATES
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2019, Vol 8, Issue 3
Abstract
BACKGROUND In this era of advanced surgical approaches, Laparoscopic Cholecystectomy is the procedure of choice for gall bladder diseases. But fear of conversion to open cholecystectomy is really a night mare among surgeons and patients. Good counselling and better predictability can avert the misconception of conversion as a complication of it. This study was conducted with an aim to evaluate complications as well as conversion rates in normal and high risks patients. MATERIALS AND METHODS The study included all adult subjects who have definite clinical, biochemical and radiological indications for laparoscopic cholecystectomy. After clearance from the ethical committee, we also included those patients in whom laparoscopic cholecystectomy was previously not frequently performed like acute cholecystitis, chronic cholecystitis, history of previous upper abdominal surgeries, and in obese patients with BMI>30. Definitely benefits outweigh risks in these patients. Statistical analysis was done by using chi square test, Fisher’s exact test with the help of SPSS version 20. RESULTS We have observed that out of 67 subjects, n=22, 32.8% were between 31-40 years of age, n=43, 64.1% were females and n=24, 35.8% were males. Commonest complaint is abdominal pain present in n=43, 64.2%. Cholelithiasis was the most common indication present in n=52, 82% patients. Out of 67 patients, n=6, 8.9% had history of upper abdominal surgeries, acute cholecystitis present in n=9, 13.4%, chronic cholecystitis in n=3, 4.4% and n=2, 2.9% had BMI >30 kg/m2. Total conversion rate was n=8, 11.9% which was slightly high as we have included high risk patients also. But still we have avoided conversion in total n=4, 66.6% with upper abdominal surgeries, n=2, 66.6% patients with chronic cholecystitis, n= 4,100% in acute cholecystitis of pain duration<72 hours and n=2,100% obese patients. Although p-value calculated by chi square test was found to be 0.3126 [>0.05]. CONCLUSION Definitely, conversion should never be considered as a complication of laparoscopic cholecystectomy and there is no question that laparoscopic cholecystectomy is the gold standard for gallbladder diseases.
Authors and Affiliations
Santosh Kumar Sonker, Rohit Jain, Pratik Barle
Keywords
Related Articles
- EP ID EP553211
- DOI 10.14260/jemds/2019/47
- Views 52
- Downloads 0
VARIATION IN SHAPE, WEIGHT AND NUMBER OF COTYLEDONS OF PLACENTAE IN KOSI REGION OF BIHAR, NORTH EAST INDIA
BACKGROUND Placenta serves the most basic metabolic needs of foetus including respiration, nourishment and excretion. It forms an organ for interchange of material between foetus and maternal blood stream without mixing...
LONGSTANDING DERMATOFIBROSARCOMA PROTUBERANS- A CASE REPORT
PRESENTATION OF CASE A 42-year-old male presented to surgical OPD with a slow growing painless swelling in the left inguinal region since 3 years. He did not have history of similar swellings anywhere in the body. He did...
CLINICAL BEHAVIOR OF UTERINE CERVICAL CARCINOMA IN AN IMMUNOCOMPROMISED RENAL TRANSPLANT RECIPIENT WITH LITERATURE ON THE INCIDENCE, PATHOGENESIS AND CLINICAL BEHAVIOR
Incidence of malignancy is 2-31% in patients who had renal transplant. Due to advances in immunosuppression the incidence of graft versus host reaction and rejection of transplant are rare. Due to increase in...
HIGH SENSITIVITY C-REACTIVE PROTEIN IN CHRONIC OBSTRUCTIVE PULMONARY DISEASE AND ASTHMA- A PROSPECTIVE STUDY IN NORTH INDIA
BACKGROUND High sensitivity C-reactive protein (hs-CRP) is an acute phase reactant with well documented sensitivity that is commonly used to diagnose infections and inflammatory conditions like COPD and Asthma. We wanted...
CLINICAL PROFILE OF PATIENTS WITH INFLUENZA LIKE ILLNESS
BACKGROUND Respiratory infections caused by seasonal influenza is associated with significant morbidity and mortality. The objective of our study was to analyse the clinical profile, complications and outcome of patients...