Title: Conversion Rates of Laparoscopic Cholecystectomy in the Current Era of Laparoscopic Surgery

Authors: Dr Haleema Neshat, Dr Surapaneni Sushama, Dr Y. Prabhakara Rao

 DOI: https://dx.doi.org/10.18535/jmscr/v7i2.186

Abstract

Background: Laparoscopic cholecystectomy is getting popularity in developing countries like India. Conversion from laparoscopic cholecystectomy to open is also becoming common. This study evaluates the causes and rate of conversion and establishes the efficacy and safety of the procedure.

Methods: This is a retrospective study, conducted in department of General Surgery, at NRI medical college and general hospital from January 2016 to December 2016. Patients of more than 20 years with symptomatic gall stones were included in the study. Patients with dilated CBD, choledocholithiasis, carcinoma gall bladder were excluded.

Results: A total of 85 patients with 33 males, 52 females, 5 patients with conversion were recorded. Most common cause of conversion was adhesions followed by obscured anatomy at CALOT’S triangle.

Conclusion: Most common cause of conversion was dense adhesions followed by obscured anatomy at   CALOT’S TRIANGLE. Learning curve also contributes to conversion rates.

Keywords: laparoscopic cholecystectomy, complications, laparoscopy, conversion, CALOT’S TRIANGLE

References

  1. Mufti TS, Ahmad S, Naveed D, Akbar M, Zafar A. Laparoscopic Cholecystectomy: An Early Experience at Ayub Teaching Hospital Abbottabad. J Ayub Med Coll Abbottabad 2007;19(4):42–4.
  2. Livingstone EH, Rege RV. A nationwide study of conversion from laparoscopic to open cholecysectomy. Am J Surg 2004;188(3):205–11
  3. Memon MR, Muhammad G, Arshad S, Jat MA, Bozdar AG, Shah QA. Study of Open Conversion In Laparoscopic Cholecyst-ectomy. Gomal J Med Sci 2011;9(1):51–4.
  4. Nair RJ, Dunn DC, Fowler S, McCloy RF. Progress with cholecystectomy: improving results in England and Wales. Br J Surg1997;84(10):1396–8.
  5. Geraci G, Sciume C, Pisello F, Volsi FL, Facella T, Modica G. Trocar-related abdomnal wall bleeding in 200 patients after laparoscopic cholecystectomy: personal experience. Word J Gastroenterol 2006;12(44):7165–7.
  6. Bingener-Casey J, Richards ML, Strodel WE, Schwesinger WH, Sirinek KR. Reasons for conversion from laparoscopic to open cholecystectomy: a 10-year review. J Gastrointest Surg 2002;6(6):800–5
  7. Simoglou C, Simoglou L, Babalis D. Mirizzi syndrome. Hellenic J Surg. 2013;85(2):109e112.
  8. Ashraf JR. Mirizzi syndrome management. 2016;11(4), 2016.
  9. Chowbey PK, Sharma A, Mann V, Khullar R, Baijal M, Vashistha A. The management of Mirizzi syndrome in the laparoscopic era. Surg Laparosc Endosc Percutan Tech. 2000;10(1):11e14.
  10. Akyurek N, Salman B, Irkorucu O, et al. Laparoscopic cholecystectomy in patients with previous abdominal surgery. JSLS J Soc Laparoendosc Surg.2005;9 (2):178e183.
  11. Chandio A, Timmons S, Majeed A, Twomey A, Aftab F. Factors Influencing the Successful Completion of Laparos-copic Cholecystectomy. JSLS 2009;13(4):581–6
  12. Gholipour C, Fakhree MBA, Shalchi RA, Abbasi M. Prediction of conversion of laparoscopic cholecystectomy to open surgery with artificial neural networks. BMC Surg 2009;9:13–9.
  13. Kim JS, Khavanin N, Rambachan A, et al. Surgical duration and risk of venous thromboembolism. JAMA Surg. 2015;150(2):110e117
  14. Subhas G, Gupta A, Bhullar J, et al. Prolonged (longer than 3 hours) laparoscopic cholecystectomy: reasons and results. Am Surg. 2011;77(8):981e984
  15. Papandria D, Lardaro T, Rhee D, et al. Risk factors for conversion from laparoscopic to open surgery: analysis of 2138 converted operations in the American college of surgeons national surgical quality improvement program. Am Surg. 2013;79(9):914e921.
  16. Yol S, Kartal A, Vatansev C, Aksoy F, Toy H. Sex as a factor in conversion from laparoscopic cholecystectomy to open surgery. JSLS. 2006;10(3):359e363.
  17. Mattioli FP, Cagnazzo A, Razzetta F, Bianchi C, Varaldo E, Campagna A, et al. Laparoscopic cholecystectomy. An analysis of the reasons for a conversion to conventional surgery in an elective surgery department. Minerva Chir 1999;5497-8):471–6.
  18. Kirshtein B, Bayme M, Bolotin A, Mizrahi S, Lantsberg L. Laparoscopic cholecyst-ectomy for acute cholecystitis in the elderly: is it safe? Surg Laparosc Endosc Percutan Tech. 2008;18(4):334e339.
  19. Schrenk P, Woisetschlager R, Wayand WU. Laparoscopic cholecystectomy. Cause of conversions in 1,300 patients and analysis of risk factors. Surg Endosc. 1995;9(1):25e28
  20. Lo CM, Fan ST, Liu CL, Lai EC, Wong J. Early decision for conversion of laparoscopic to open cholecystectomy for treatment of acute cholecystitis. Am J Surg.1997;173(6):513e517.

Corresponding Author

Dr Surapaneni Sushama

M.S., General Surgery, Professor, NRI Medical College and General hospital, Chinakakani, Guntur District, Andhra Pradesh, India