LaparoscopyPredictive factors for conversion of laparoscopic cholecystectomy
Section snippets
Methods
From January 1996 to January 2000,1,347 laparoscopic cholecystectomies were performed at the CCF. A retrospective analysis of 34 parameters including patient demographics, clinical history, laboratory data, ultrasound results, and intraoperative details was performed. Demographic data included age, American Society of Anesthesiology (ASA) classification, sex, body mass index (BMI), alcohol or tobacco use, concomitant medical conditions (ischemic heart disease, chronic obstructive lung disease,
Results
Of the 1,347 patients in whom laparoscopic cholecystectomy was attempted, 71 (5.3%) required conversion to open surgery. The annual incidence of conversion of laparoscopic to open surgery was analyzed. The conversion rates remained relatively stable throughout the study period and are shown in Fig. 1. The indications for conversion to open cholecystectomy are summarized in Table 1. The most common reason for conversion was severe inflammation and dense adhesions preventing accurate
Comments
The undisputed benefits of laparoscopic cholecystectomy render it the procedure of choice for symptomatic cholelithiasis. With growing experience, laparoscopic cholecystectomy is safe and cost-efficient in an ambulatory setting [15], [16]. However, certain patients still require conversion to an open procedure. Identifying reliable predictive factors for conversion provides benefits for patient education and postoperative expectations. Furthermore, hospital administrators can appropriately plan
References (20)
- et al.
The European experience with laparoscopic cholecystectomy
Am J Surg
(1991) - et al.
Factors determining conversion to laparotomy in patients undergoing laparoscopic cholecystectomy
Am J Surg
(1994) - et al.
A risk score for conversion from laparoscopic to open cholecystectomy
Am J Surg
(2001) A prospective analysis of 1518 laparoscopic cholecystectomies
N Engl J Med
(1991)- et al.
Complications in laparoscopic and open cholecystectomya prospective comparative trial
Surg Laparosc Endosc
(1996) - et al.
A prospective randomized trial of day-stay only versus overnight-stay laparoscopic cholecystectomy
Aust NZ J Surg
(1999) - et al.
Laparoscopic and open cholecystectomy. A prospective, randomized study
Eur J Surg
(1993) - et al.
Predictive factors for conversion of laparoscopic cholecystectomy
World J Surg
(1997) - et al.
Laparoscopic cholecystectomy for acute inflammation of the gallbladder
Ann Surg
(1993) - et al.
Factors affecting conversion of laparoscopic cholecystectomy to open surgery
Arch Surg
(1996)
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