Title: Conversion Rates of Laparoscopic Cholecystectomy in the Current Era of Laparoscopic Surgery
Authors: Dr Haleema Neshat, Dr Surapaneni Sushama, Dr Y. Prabhakara Rao
DOI: https://dx.doi.org/10.18535/jmscr/v7i2.186
Abstract
References
Background: Laparoscopic cholecystectomy is getting popularity in developing countries like India. Conversion from laparoscopic cholecystectomy to open is also becoming common. This study evaluates the causes and rate of conversion and establishes the efficacy and safety of the procedure.
Methods: This is a retrospective study, conducted in department of General Surgery, at NRI medical college and general hospital from January 2016 to December 2016. Patients of more than 20 years with symptomatic gall stones were included in the study. Patients with dilated CBD, choledocholithiasis, carcinoma gall bladder were excluded.
Results: A total of 85 patients with 33 males, 52 females, 5 patients with conversion were recorded. Most common cause of conversion was adhesions followed by obscured anatomy at CALOT’S triangle.
Conclusion: Most common cause of conversion was dense adhesions followed by obscured anatomy at CALOT’S TRIANGLE. Learning curve also contributes to conversion rates.
Keywords: laparoscopic cholecystectomy, complications, laparoscopy, conversion, CALOT’S TRIANGLE
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