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.
Highlights
Laparoscopic cholecystectomy is the gold-standard operation for the treatment of cholelithiasis
First described in 1882 by Langenbuch, open cholecystectomy has been the primary treatment of gallstone disease for most of the past century
There are factors, which influence in the conversion of laparoscopic to open cholecystectomy
Summary
Laparoscopic cholecystectomy is the gold-standard operation for the treatment of cholelithiasis. Various factors affect the conversion of laparoscopic to open cholecystectomy. First described in 1882 by Langenbuch, open cholecystectomy has been the primary treatment of gallstone disease for most of the past century. Mühe of Boblingen, Germany, who performed the first laparoscopic cholecystectomy, revolutionized the treatment of calculous gallbladder disease in 1985. It is estimated that more than 90% of the cholecystectomies are performed laparoscopically. Laparoscopic cholecystectomy provides a safe and effective treatment for most patients with symptomatic gallstones. Advantages of laparoscopic cholecystectomy are earlier return of bowel function, less post-operative pain, improved cosmesis, shorter length of hospital stay, earlier return to full activity and decreased overall cost though there is 0.5-0.6% risk of biliary injury.[17] laparoscopic cholecystectomy is the goldstandard operation for cholelithiasis
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
