Study of factors necessitating conversion of laparoscopic cholecystectomy to open cholecystectomy

Abstract

Now Laparoscopic Cholecystectomy is considered the treatment of choice for cholelithiasis. It has advantages over traditional open cholecystectomy in terms of minimal post-operative pain, shorter hospital stay, early recovery and better cosmesis. With increase in experience and skill selection criteria has become more liberal. All patients presenting with cholelithiasis without choledocholithiasis; and with no contraindication for general anesthesia were included in the study. Medical records of all patients who underwent LC were reviewed. Data recorded included demographic information, past medical history, indication for operation, duration of operation, reason for conversion and post-operative complications. Out of 200 patients studied 26 patients were had history of previous abdominal surgery. 3 out of 26 patients got converted to open surgery. The conversion rates among patients with previous abdominal surgery were found to be slightly higher (11.57%) compared to patients with no h/o abdominal surgeries (7.47%).