Conversion of laparoscopic to open cholecystectomy : Identification of preoperative risk factors
Other Title(s)
دراسة لعوامل ما قبل جراحة التي تؤدي إلى التحول للجراحة التقليدية أثناء جراحات إستئصال المرارة بالمنظار الجراحي
Source
Suez Canal University Medical Journal
Issue
Vol. 9, Issue 2 (31 Oct. 2006), pp.181-188, 8 p.
Publisher
Suez Canal University Faculty of Medicine
Publication Date
2006-10-31
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Introduction: Laparoscopic cholecystectomy has become the standard operative procedure for cholelithiasis; however, approximately 5% to 15% of patients require conversion to open surgery for various reasons.
The issue of this conversion remains unsettled.
Conversion exerts adverse effects on operating time, postoperative morbidity, and hospital costs.
We aimed in this current study to identify the risk factors that may predict conversion of laparoscopic cholecystectomy to open surgery.
Patients and Methods: A retrospective analysis of medical records of 143 patients who underwent laparoscopic cholecystectomy, including demographic, ultrasonographic, and operative and postoperative data.
Preoperative risk factors affecting conversion to open surgery were identified with statistical analysis.
Results: Increased risk of conversion with statistical significance was found in advanced age (OR= 12.16), male gender (OR=6.86), obesity (OR=5.22), diabetes (OR=31.5), previous abdominal surgery (C)R=8.20), emergency laparoscopic cholecystectomy for acute cholecystitis (OR=9.75) and thickened gallbladder wall on ultrasonographic scanning (OR=7.27).
No significant relation was found between the likelihood of conversion and any of the following: concomitant diseases (cardiovascular diseases or cirrhosis), preoperative ERCP, and preoperative abnormal liver function test results.
Conclusion: Knowledge of these factors will help the surgeon to counsel and select the patient, arrange the operating schedule, and plane of the duration of convalescence but they were not contraindication for laparoscopic cholecystectomy.
American Psychological Association (APA)
Dibis, Shawqi Muhammad& Abu al-Yazid, Mahmud Muhammad& Abd al-Rahman, Nur al-Din Abd& Tamam, Nabil Yasin. 2006. Conversion of laparoscopic to open cholecystectomy : Identification of preoperative risk factors. Suez Canal University Medical Journal،Vol. 9, no. 2, pp.181-188.
https://search.emarefa.net/detail/BIM-369758
Modern Language Association (MLA)
Dibis, Shawqi Muhammad…[et al.]. Conversion of laparoscopic to open cholecystectomy : Identification of preoperative risk factors. Suez Canal University Medical Journal Vol. 9, no. 2 (Oct. 2006), pp.181-188.
https://search.emarefa.net/detail/BIM-369758
American Medical Association (AMA)
Dibis, Shawqi Muhammad& Abu al-Yazid, Mahmud Muhammad& Abd al-Rahman, Nur al-Din Abd& Tamam, Nabil Yasin. Conversion of laparoscopic to open cholecystectomy : Identification of preoperative risk factors. Suez Canal University Medical Journal. 2006. Vol. 9, no. 2, pp.181-188.
https://search.emarefa.net/detail/BIM-369758
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 187-188
Record ID
BIM-369758