Abstract
Background: Laparoscopic Cholecystectomy is established as the primary procedure for the vast majority of patients with benign gall bladder disease .1st laparoscopic cholecystectomy record in medical literature was performed in March 1987 by Phillip Mouret, in France and in 1992 accepted as new gold standard procedure across world despite of few complications.
 Aims and Objectives: To determine the causes of conversion of laparoscopic cholecystectomy to open cholecystectomy.
 Material and methods: From September 2018 to September 2019, total 85 patients were diagnosed as cholelithiasis admitted in respective unit postings of SVBP hospital Meerut and 53 cases selected for study of laparoscopic cholecystectomy. Workup of patients done with proper history, clinical examination, blood investigations and ultrasonography abdomen.
 Observations and Results: We performed laparoscopic cholecystectomy in 53 cases with male: female ratio of 1:4.9.Conversion rate was 7.5% .Most common cause of conversion was frozen calot’s with adhesions ,several other factors aid in conversion like age more than 45 years, male gender and acute phase of cholecystitis.
 Conclusion: In our study, we found that laparoscopic cholecystectomy when performed in properly selected patients is very much effective in treatment of symptomatic gall stone disease in term of less complication, less duration of operation and anaesthesia related complication ,cost effectiveness ,early return on work and daily routine activity .Thus laparoscopic cholecystectomy is gold standard procedure for gall stone disease despite of few complications and unavoidable conversion.
 Keywords: Cccl, BMI
Highlights
Laparoscopic cholecystectomy is established as the primary procedure for the vast majority of patients with benign gall bladder disease, both in elective and emergency condition
Background: Laparoscopic Cholecystectomy is established as the primary procedure for the vast majority of patients with benign gall bladder disease .1st laparoscopic cholecystectomy record in medical literature was performed in March 1987 by Phillip Mouret, in France and in 1992 accepted as new gold standard procedure across world despite of few complications
Material and methods: From September 2018 to September 2019, total 85 patients were diagnosed as cholelithiasis admitted in respective unit postings of SVBP hospital Meerut and 53 cases selected for study of laparoscopic cholecystectomy
Summary
Laparoscopic cholecystectomy is established as the primary procedure for the vast majority of patients with benign gall bladder disease, both in elective and emergency condition. The ability to accurately identify an individual patient risk for conversion based on preoperative information can result in more meaningful and accurate preoperative counselling, improved operating room scheduling and efficiency,stratification of risk for technical difficulty, and appropriate assignment of resident assistance, may improve patient’s safety by minimizing time to conversion, and helps to identify patients in whom a planned open cholecystectomy is indicated. The first laparoscopic cholecystectomy recorded in medical literature was performed in March 1987 by Phillip Mouret in France. Within 5 Years laparoscopic cholecystectomy was adopted rapidly around the world and was subsequently been recognized as the new “gold standard” for the treatment of gallstone disease by 1992.1
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