Open conversion of laparoscopic cholecystectomy at Al-Sadder teaching hospital, a descriptive study

Abstract

Background: Laparoscopic cholecystoctomy (LC) is getting popularity in developing countries especially in Iraq. Conversion is also common. This study intends to evaluate the causes of conversion from LC to open procedure and to establish the safety and efficacy of the procedure.Method: This is descriptive case series conducted in general surgical department at Al-sadder teaching hospital in Mayssan city from January 2014 - December 2015. Patient of more than 20 years of age presented with symptomatic gall stones where included in the study. Patient with jaundice dilated common bile duct where excluded.Result: A total of 300 patient where included. 262 patient (87.3%where female and 38 patient (12.6% where male). Twenty one patient (7% where converted to open cholecystoctomy (OC). The most common cause of conversion was dense adhesiones followed by obscure anatomy at Calots triangle. Other common causes were bleeding bile leakage. Adjacent visceral injury and instrument failure.