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Retrospective Analysis of Risk Factors for Conversion of Laparoscopic to Open Cholecystectomy in 532 Patients

Amit Kumar, Vivek Maurya, M.C. Pandey.

Abstract
Background: Laparoscopic cholecystectomy is a standard gold surgery for gall bladder stone disease, but conversion in laparoscopic to open cholecystectomy in some cases is inevitable. This retrospective study is helpful to know about the risk factors which are responsible for the conversion of laparoscopic to open cholecystectomy, like Conversion of laparoscopic to open cholecystectomy increases morbidity and cost.

Methods: We reviewed 532 laparoscopic cholecystectomies initiated between January 2017 and Jan 2020 in a surgery department, and in between duration statistical analysis was performed to identify preoperative and intraoperative risk factors for conversion from laparoscopic to open cholecystectomy.

Results: In 532 patients, 16 patients converted into open cholecystectomy. The overall rate of conversion to over cholecystectomy was 3.0%. Major factors responsible for conversion were difficult calot,s triangle identification (46.6%) and upper abdominal surgery (25%), which are statically significant.

Conclusion: Study of these factors help in the decision of selection of patient, the approach to surgery and counselling of patients. It also reduces the cost and time of surgery.

Key words: Laparoscopic cholecystectomy, open cholecystectomy, risk factor, morbidity


 
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How to Cite this Article
Pubmed Style

Kumar A, Maurya V, Pandey M. Retrospective Analysis of Risk Factors for Conversion of Laparoscopic to Open Cholecystectomy in 532 Patients. Int J Surg Med. 2022; 8(1): 37-40. doi:10.5455/ijsm.RiskFactorsforConversionofLaparoscopictoOpenCholecystectomyin532Patients


Web Style

Kumar A, Maurya V, Pandey M. Retrospective Analysis of Risk Factors for Conversion of Laparoscopic to Open Cholecystectomy in 532 Patients. https://www.ejos.org/?mno=95593 [Access: May 13, 2022]. doi:10.5455/ijsm.RiskFactorsforConversionofLaparoscopictoOpenCholecystectomyin532Patients


AMA (American Medical Association) Style

Kumar A, Maurya V, Pandey M. Retrospective Analysis of Risk Factors for Conversion of Laparoscopic to Open Cholecystectomy in 532 Patients. Int J Surg Med. 2022; 8(1): 37-40. doi:10.5455/ijsm.RiskFactorsforConversionofLaparoscopictoOpenCholecystectomyin532Patients



Vancouver/ICMJE Style

Kumar A, Maurya V, Pandey M. Retrospective Analysis of Risk Factors for Conversion of Laparoscopic to Open Cholecystectomy in 532 Patients. Int J Surg Med. (2022), [cited May 13, 2022]; 8(1): 37-40. doi:10.5455/ijsm.RiskFactorsforConversionofLaparoscopictoOpenCholecystectomyin532Patients



Harvard Style

Kumar, A., Maurya, . V. & Pandey, . M. (2022) Retrospective Analysis of Risk Factors for Conversion of Laparoscopic to Open Cholecystectomy in 532 Patients. Int J Surg Med, 8 (1), 37-40. doi:10.5455/ijsm.RiskFactorsforConversionofLaparoscopictoOpenCholecystectomyin532Patients



Turabian Style

Kumar, Amit, Vivek Maurya, and M.C. Pandey. 2022. Retrospective Analysis of Risk Factors for Conversion of Laparoscopic to Open Cholecystectomy in 532 Patients. International Journal of Surgery and Medicine, 8 (1), 37-40. doi:10.5455/ijsm.RiskFactorsforConversionofLaparoscopictoOpenCholecystectomyin532Patients



Chicago Style

Kumar, Amit, Vivek Maurya, and M.C. Pandey. "Retrospective Analysis of Risk Factors for Conversion of Laparoscopic to Open Cholecystectomy in 532 Patients." International Journal of Surgery and Medicine 8 (2022), 37-40. doi:10.5455/ijsm.RiskFactorsforConversionofLaparoscopictoOpenCholecystectomyin532Patients



MLA (The Modern Language Association) Style

Kumar, Amit, Vivek Maurya, and M.C. Pandey. "Retrospective Analysis of Risk Factors for Conversion of Laparoscopic to Open Cholecystectomy in 532 Patients." International Journal of Surgery and Medicine 8.1 (2022), 37-40. Print. doi:10.5455/ijsm.RiskFactorsforConversionofLaparoscopictoOpenCholecystectomyin532Patients



APA (American Psychological Association) Style

Kumar, A., Maurya, . V. & Pandey, . M. (2022) Retrospective Analysis of Risk Factors for Conversion of Laparoscopic to Open Cholecystectomy in 532 Patients. International Journal of Surgery and Medicine, 8 (1), 37-40. doi:10.5455/ijsm.RiskFactorsforConversionofLaparoscopictoOpenCholecystectomyin532Patients