Causes and incidence of laparoscopic cholecystectomy conversion

Abstract EN

Four hundred cases of laparoscopic cholecystectomy candidates were prospectively followed at the time of surgery by obtaining a data sheet for the patient’s age, sex, time from the introduction of ports till decision of conversion and the cause of conversion if present in two years (2006 & 2007) period. From 400 laparoscopic cholecystectomy, 20 conversions were obtained and the causes were ; wide cystic duct, empyema of the gall bladder, severe obesity, liver tumor, abnormal position of gall bladder, vascular variation and dense adhesions with disturbed anatomy.

The percentage of conversion was 5%.

Eight conversion cases were males from the total 45 male patients underwent laparoscopic cholecystectomy.

Twelve cases were females out of 355 female patients underwent laparoscopic cholecystectomy.

The percentage of conversion for male patients was 17.7% while in female patients was 3.3%.

Our results showed that the conversion rate in this study was 5% and the most common cause for conversion is dense adhesions.

No biliary duct injury or severe bleeding that need conversion is found in this study and the rate for conversion is higher in male patients.