Study on operative difficulties faced during laparoscopic cholecystectomy, using clinical findings and ultrasound criteria

Abstract

Background and Objectives: Cholelithiasis is one of the most common biliary pathologies, affecting about 10-15% of the general population. At present, most of the surgeries are done by laparoscopic procedures, and have replaced open cholecystectomy, Sometimes, laparoscopic cholecystectomy is easy and can be done quickly. In few cases, it will be difficult and various problems can arise during surgery, requiring open cholecystectomy. There is a need to evaluate the clinical factors, lab investigations and ultrasound findings, in predicting the conversion of laparoscopic to open procedure, as open procedure carries more morbidity in view of post-operative pain, prolonged hospital stay, difficulty in breathing, and patients can be made aware of the risks of conversion to open cholecystectomy. Objectives: The objective of study is to predict which clinical findings, lab investigations and preoperative ultrasound findings best correlates with most common operative difficulties faced during laparoscopic cholecystectomy.