CONVERSION OF LAPAROSCOPIC CHOLECYSTECTOMY TO OPEN CHOLECYSTECTOMY: PREOPERATIVE RISK FACTORS AND INTRAOPERATIVE REASONS

Objective: To identify the frequency, associated risk factors and intraoperative reasons for conversion of Laparoscopic Cholecystectomy to open Cholecystectomy. Study Design: Case series study. Place and Duration of Study: This study was conducted in department of Surgery, Combined Military Ho...

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Autores principales:	Umairah Yaqub, Sadaf Zohra, Syed Mukarram Hussain, Ambreen Ehsan, Ayesha Imran, Sohail Ilyas
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2020
Materias:	conversion rate laparsocopic cholecystectomy open cholecystectomy risk factors Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/f82d1f239589438ea4e7fc3208c67d9d
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spelling	oai:doaj.org-article:f82d1f239589438ea4e7fc3208c67d9d2021-12-02T19:18:21ZCONVERSION OF LAPAROSCOPIC CHOLECYSTECTOMY TO OPEN CHOLECYSTECTOMY: PREOPERATIVE RISK FACTORS AND INTRAOPERATIVE REASONS0030-96482411-8842https://doaj.org/article/f82d1f239589438ea4e7fc3208c67d9d2020-10-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/5551https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To identify the frequency, associated risk factors and intraoperative reasons for conversion of Laparoscopic Cholecystectomy to open Cholecystectomy. Study Design: Case series study. Place and Duration of Study: This study was conducted in department of Surgery, Combined Military Hosptial Rawalpindi, from May to Oct, 2018. Methodology: Patients admitted for laparoscopic cholecystectomy were included in the study. Demographic information, ASA Score of physical health, Ultrasonogram Abdomen findings and presence of pericholecystic fluid were documented. The reasons for conversion from laparoscopic cholecystectomy (LC) to open Cholecystectomy (OC) for example excessive haemorrhage, visceral injury, equipment failure, injury to Common bile duct were also noted. Results: In this study 15 (8.77%) patients were converted from laparoscopic cholecystectomy to open cholecystectomy. The most common reason 6 (40%) of conversion was Fibrosis at Calots Triangle and Adhesions due to inflammation. In patients who converted most 10 (66.7%) were 41-60 years old and in patients who had successful laparoscopic cholecystectomy majority 70 (44.9%) patients belonged to age group 21-40 years. The male gender had significantly (p-value <0.05) higher rate of conversion (53.3% vs. 46.7%). There was significant (p-value <0.05) association of ASA score and presence of pericholecystic fluid with rate of conversion. Conclusion: Male gender, higher ASA score, and presence of pericholecystic fluid are significant contributors for conversion of laparoscopic cholecystectomy to open cholecystectomy. The most common reason for conversion was Fibrosis at Calots Triangle and Adhesions due to inflammation.Umairah YaqubSadaf ZohraSyed Mukarram HussainAmbreen EhsanAyesha ImranSohail IlyasArmy Medical College Rawalpindiarticleconversion ratelaparsocopic cholecystectomyopen cholecystectomyrisk factorsMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 70, Iss 5, Pp 1288-1293 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	conversion rate laparsocopic cholecystectomy open cholecystectomy risk factors Medicine R Medicine (General) R5-920
spellingShingle	conversion rate laparsocopic cholecystectomy open cholecystectomy risk factors Medicine R Medicine (General) R5-920 Umairah Yaqub Sadaf Zohra Syed Mukarram Hussain Ambreen Ehsan Ayesha Imran Sohail Ilyas CONVERSION OF LAPAROSCOPIC CHOLECYSTECTOMY TO OPEN CHOLECYSTECTOMY: PREOPERATIVE RISK FACTORS AND INTRAOPERATIVE REASONS
description	Objective: To identify the frequency, associated risk factors and intraoperative reasons for conversion of Laparoscopic Cholecystectomy to open Cholecystectomy. Study Design: Case series study. Place and Duration of Study: This study was conducted in department of Surgery, Combined Military Hosptial Rawalpindi, from May to Oct, 2018. Methodology: Patients admitted for laparoscopic cholecystectomy were included in the study. Demographic information, ASA Score of physical health, Ultrasonogram Abdomen findings and presence of pericholecystic fluid were documented. The reasons for conversion from laparoscopic cholecystectomy (LC) to open Cholecystectomy (OC) for example excessive haemorrhage, visceral injury, equipment failure, injury to Common bile duct were also noted. Results: In this study 15 (8.77%) patients were converted from laparoscopic cholecystectomy to open cholecystectomy. The most common reason 6 (40%) of conversion was Fibrosis at Calots Triangle and Adhesions due to inflammation. In patients who converted most 10 (66.7%) were 41-60 years old and in patients who had successful laparoscopic cholecystectomy majority 70 (44.9%) patients belonged to age group 21-40 years. The male gender had significantly (p-value <0.05) higher rate of conversion (53.3% vs. 46.7%). There was significant (p-value <0.05) association of ASA score and presence of pericholecystic fluid with rate of conversion. Conclusion: Male gender, higher ASA score, and presence of pericholecystic fluid are significant contributors for conversion of laparoscopic cholecystectomy to open cholecystectomy. The most common reason for conversion was Fibrosis at Calots Triangle and Adhesions due to inflammation.
format	article
author	Umairah Yaqub Sadaf Zohra Syed Mukarram Hussain Ambreen Ehsan Ayesha Imran Sohail Ilyas
author_facet	Umairah Yaqub Sadaf Zohra Syed Mukarram Hussain Ambreen Ehsan Ayesha Imran Sohail Ilyas
author_sort	Umairah Yaqub
title	CONVERSION OF LAPAROSCOPIC CHOLECYSTECTOMY TO OPEN CHOLECYSTECTOMY: PREOPERATIVE RISK FACTORS AND INTRAOPERATIVE REASONS
title_short	CONVERSION OF LAPAROSCOPIC CHOLECYSTECTOMY TO OPEN CHOLECYSTECTOMY: PREOPERATIVE RISK FACTORS AND INTRAOPERATIVE REASONS
title_full	CONVERSION OF LAPAROSCOPIC CHOLECYSTECTOMY TO OPEN CHOLECYSTECTOMY: PREOPERATIVE RISK FACTORS AND INTRAOPERATIVE REASONS
title_fullStr	CONVERSION OF LAPAROSCOPIC CHOLECYSTECTOMY TO OPEN CHOLECYSTECTOMY: PREOPERATIVE RISK FACTORS AND INTRAOPERATIVE REASONS
title_full_unstemmed	CONVERSION OF LAPAROSCOPIC CHOLECYSTECTOMY TO OPEN CHOLECYSTECTOMY: PREOPERATIVE RISK FACTORS AND INTRAOPERATIVE REASONS
title_sort	conversion of laparoscopic cholecystectomy to open cholecystectomy: preoperative risk factors and intraoperative reasons
publisher	Army Medical College Rawalpindi
publishDate	2020
url	https://doaj.org/article/f82d1f239589438ea4e7fc3208c67d9d
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CONVERSION OF LAPAROSCOPIC CHOLECYSTECTOMY TO OPEN CHOLECYSTECTOMY: PREOPERATIVE RISK FACTORS AND INTRAOPERATIVE REASONS

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