Laparoscopic Cholecystectomy; Conversion Rate, Experience of a Single Surgeon over 4-year period

• Main Authors: Ali Javaid (Author), Tahir Bashir (Author), Maratab Ali (Author)
• Format: Book
• Published: Journal of Surgery and Surgical Research - Peertechz Publications, 2017-07-24.
• Subjects: Research Article
• Online Access: Connect to this object online.

<p>To evaluate the conversion rate of lap cholecystectomy and analyze the factors leading to the conversion to open surgery.</p><p><strong>Design:</strong> Observational Study</p><p><strong>Place and Duration:</strong> Department of surgery, Doctor's Hospital and Azra Naheed Medical College Lahore, Pakistan</p><p><strong>Patients and Methods:</strong> We retrospectively analysed 250 patients admitted with gallstone disease who were deemed to be fit for laparoscopic procedure. (June 2011 through May 2016)</p><p><strong>Results: </strong>The conversion rate in our study was 2.4%. We found it to be significantly lower than the majority of studies. The conversion was mainly due to dense adhesions in Calot's triangle, previous multiple surgeries, a case of cholecystoduodenal fistula and Mirizzi's syndrome. The rate of conversion is higher in male patients and in acute cases.</p><p><strong>Conclusion:</strong> The conversion rate is 2.4% in all the laparoscopic cholecystectomies. Male patients and acute case has a higher probability of conversion. High volume surgeon (>100 cases) as in our study has lower than normal conversion rate.</p>