Abstract
Laparoscopic Cholecystectomy is the gold standard treatment for gallbladder diseases. However, for various reasons there is a finite chance of conversion to open cholecystectomy in some patients. To assess preoperative factors which might predict the chances of conversion and the intraoperative reason which resulted in the conversion. The SAGAR APOLLO HOSPITAL patient database was searched for patients who underwent laparoscopic cholecystectomy between July 2003 and November 2006. Sagar Apollo hospital is an urban tertiary care hospital. The records of 526 patients who underwent laparoscopic cholecystectomy were reviewed retrospectively. 14 (2.6%) of the 526 patients were converted to open cholecystectomy. Preoperative Alkaline phosphatase values were raised in patients who underwent conversion and were found to be statistically significant. The most common intraoperative reason for conversion was difficulty in delineating the anatomy at the Calot’s triangle. It is difficult to preoperatively predict the factors responsible for conversion.
Similar content being viewed by others
References
Soper NJ, Stockmann PT, Dunnegan DL, Ashley SW (1992) Laparoscopic cholecystectomy. The new ‘gold standard’? Arch Surg 127:917–921
Cuschieri A, Dubois F, Mouiel J, Mouret P, Becker H, Buess G et al (1991) The European experience with laparoscopic cholecystectomy. Am J Surg 161:385–387
Southern Surgeons Club (1991) A prospective analysis of 1518 laparoscopic cholecystectomies. N Engl J Med 324:1073–1078
Kane RL, Lurie N, Borbas C, Morris N, Flood S, McLaughlin B et al (1995) The outcomes of elective laparoscopic and open cholecystectomies. J Am Coll Surg 180:136–145
Eldar S, Sabo E, Nash E, Abrahamson J, Matter I (1997) Laparoscopic cholecystectomy for acute cholecystitis: prospective trial. World J Surg 21:540–545
Eldar S, Sabo E, Nash E, Abrahamson J, Mater I (1998) Laparoscopic cholecystectomy for various types of gallbladder inflammation: a prospective trial. Surg Laparosc Endosc 8:200–207
Livingston EH, Rege RV (2004) A nationwide study of conversion from laparoscopic to open cholecystectomy. Am J Surg 188:205–211
Williams LF Jr, Chapman WC, Bonau RA, McGee EC Jr, Boyd RW, Jacobs JK (1993) Comparison of laparoscopic cholecystectomy with open cholecystectomy in a single center. Am J Surg 165:459–465
Fried GM, Barkun JS, Sigman HH, Lawrence J, Clas D, Garzon J et al (1994) Factors determining conversion to laparotomy in patients undergoing laparoscopic cholecystectomy. Am J Surg 167:35–41
Lim K-R, Ibrahim S, Tan N-C, Lim S-H, Tay K-H (2007) Risk Factors for conversion to open surgery in patients with acute cholecystitis undergoing interval laparoscopic cholecystectomy. Ann Acad Med Singapore 36:631–635
Krahenbuhl L, Sclabas G, Wente MN, Schafer M, Schlumpf R, Buchler MW (2001) Incidence, risk factors, and prevention of biliary tract injuries during laparoscopic cholecystectomy in Switzerland. World J Surg 25:1325–1330
Merriam LT, Kanaan SA, Dawes LG, Angelos P, Prystowsky JB, Rege RV et al (1999) Gangrenous cholecystitis: analysis of risk factors and experience with laparoscopic cholecystectomy. Surgery 126:680–686
Kumar A, Thombare MM, Sikora SS, Saxena R, Kapoor VK, Kaushik SP (1996) Morbidity and mortality of laparoscopic cholecystectomy in an institutional setup. J Laparoendosc Surg 6:393–397
Kama NA, Kologlu M, Doganay M, Reis E, Atli M, Dolapei M (2001) A risk score for conversion from laparoscopic to open cholecystectomy. Am J Surg 181:520–525
Rosen M, Brody F, Ponsky J (2002) Predictive factors for conversion of laparoscopic cholecystectomy. Am J Surg 184:254–258
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Atmaram, D.C., Lakshman, K. Predictive Factors for Conversion of Laparoscopic Cholecystectomy. Indian J Surg 73, 423–426 (2011). https://doi.org/10.1007/s12262-011-0338-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12262-011-0338-y