Factors affecting conversion of laparoscopic to open cholecystectomy

Authors

  • Raj Kumar Chhetri Manmohan Memorial Teaching Hospital (Proposed), Swoyambhu, Kathmandu Nepal
  • Muza Shrestha Manmohan Memorial Teaching Hospital (Proposed), Swoyambhu, Kathmandu Nepal
  • Ram Prasad Shrestha Manmohan Memorial Teaching Hospital (Proposed), Swoyambhu, Kathmandu Nepal

DOI:

https://doi.org/10.3126/jssn.v20i1.24385

Keywords:

Laparoscopic cholecystectomy, Conversion rate, Open cholecystectomy

Abstract

Introduction: Laparoscopic cholecystectomy is the gold-standard operation for the treatment of cholelithiasis. Various factors affect the conversion of laparoscopic to open cholecystectomy.

Methods: In this prospective analytical study one hundred and sixty consecutive patients who underwent laparoscopic cholecystectomy were studied to see the factors that affect the conversion to open cholecystectomy. Factors contributing to conversion of laparoscopic to open cholecystectomy were analyzed.

Result: In this study the conversion rate of laparoscopic to open cholecystectomy was 6.25%. The most common cause for conversion was unclear anatomy and adhesion at the Calot’s triangle and abnormal course of the cystic artery.

Conclusion: Proper knowledge about the anatomical variations of cystic duct and artery and timely conversion in cases of confusion can help prevent bile duct injuries during cholecystectomy.

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Author Biographies

Raj Kumar Chhetri, Manmohan Memorial Teaching Hospital (Proposed), Swoyambhu, Kathmandu Nepal

Associate Professor, Department of Surgery

Muza Shrestha, Manmohan Memorial Teaching Hospital (Proposed), Swoyambhu, Kathmandu Nepal

Associate Professor, Department of Surgery

Ram Prasad Shrestha, Manmohan Memorial Teaching Hospital (Proposed), Swoyambhu, Kathmandu Nepal

Senior Consultant Surgeon,Department of Surgery

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Published

2017-06-30

How to Cite

Chhetri, R. K., Shrestha, M., & Shrestha, R. P. (2017). Factors affecting conversion of laparoscopic to open cholecystectomy. Journal of Society of Surgeons of Nepal, 20(1), 13–16. https://doi.org/10.3126/jssn.v20i1.24385

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Section

Original Articles