Early conversion is a safe option to avoid complications in laparoscopic cholecystectomy for the beginners

Abstract

A prospective study of 60 patients with 56(93.3%)females and 4(6.6%)males, age ranging from 25-65years underwent laparoscopic cholecystectomy.50 (83.3%) laparoscopic cholecystectomies were successfully completed while 10(16.6%) were converted into open procedure. Out of 10(100%), in 5(50%) the cause of conversion was excessive bleeding while in the remaining 5(50%) the cause was adhesion, inflammation and hypotension. Operative time varies from 40 to 100minutes with mean of 70minutes. Postoperative drainage done in 40(66.6%) of cases. 5(8.3%) patients developed complications, out of which 4 patients developed biloma and one patient developed port side wound infection. There was no CBD clipping, Gut injury or mortality recorded in this series. It is concluded that early conversion is a safe option to avoid life-threatening complications for the Beginners