Frequency and Reasons of Conversion of Laproscopic Cholecystechtomy to Open Cholecystectomy

Kaleem Ullah, Zaka Ullah Jan, Azam Shuaib, Habib -un- Nabi, Muhammad Imran Khan

Abstract


Background: Gallstone disease is not only common health concern in developed countries, rather its incidence is increasing in
developing countries. For the last two decades, laparoscopic cholecystectomy has been considered as a standard treatment for
this disease.
Objective: To determine the frequency and reasons of conversion of laparoscopic cholecystectomy to open cholecystectomy.
Material & Method: The descriptive study was carried out in the department of surgery, Khyber Teaching Hospital Peshawar from
January 2015 to December, 2016. Total 504 patients having symptomatic gall stones were subjected to laparoscopic cholecystectomy. Frequency of conversion of laparoscopic cholecystectomy to open and its causes were analyzed in this study.
Results: Among the 504 patients, 36 patients (7.14%) were converted to open cholecystectomy. The conversion in male and
females were 12(11.8%) and 24(5.95%) respectively. The most common reason for conversion during laparoscopic
cholecystectomy was adhesions followed by hemorrhage.
Conclusion: The commonest reason for conversion was adhesion followed by hemorrhage, common bile duct and gut injuries.
Laparoscopic cholecystectomy can be safely performed with a conversion rate of less than 10% in all the patients.


Keywords


Laparoscopic cholecystectomy (LC), Open cholecystectomy (OC).

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