LAPAROSCOPIC CHOLECYSTECTOMY REQUIRES CONVERSION IN FEW PATIENTS ONLY: A PROSPECTIVE STUDY OF 370 PATIENTS

• Published in: Journal of evolution of medical and dental sciences Vol. 4; no. 98; pp. 16326 - 16328
• Main Authors: Gupta, Mahesh, Kaur, Harpeet, Saini, Pawan
• Format: Journal Article
• Language: English
• Published: Akshantala Enterprises Private Limited 07.12.2015
• Subjects: Care and treatment; Cholecystitis; Gallstones; Laparoscopy; Medical research
• ISSN: 2278-4748; 2278-4802
• DOI: 10.14260/jemds/2015/2410

BACKGROUND Gallstone disease is a major health problem worldwide and laparoscopic cholecystectomy(LC) has become the gold standard surgical treatment of this entity. There are various complications related to this procedure which may lead to conversion into open cholecystectomy. We have done a prospective study of 370 cases in our institution to assess the reasons for conversion from LC to open cholecystectomy. MATERIAL AND METHODS 370 cases of symptomatic gallstones were admitted in surgical unit of Rama Medical College Hospital & Research Centre, Kanpur, U.P and all of them had undergone LC. The study was done prospectively from September 2013 to August 2015. All the patients with symptomatic gallstone disease including acute cholecystitis were included in this study and the reasons for conversion were recorded. RESULTS In our study we had to convert only 9(2.43%) cases out of 370 into open cholecystectomy and the most common reason found was dense adhesions and acutely inflamed gallbladder with a very low incidence of bile duct injury. CONCLUSIONS Despite of good selection of cases and experience of the operating surgeon few cases of laparoscopic cholecystectomy may require conversion into the open procedure. KEYWORDS Laparoscopic Cholecystectomy, Open Cholecystectomy, Acute Cholecystitis.