Evaluation of Predictive Factors for Conversion of laparoscopic Cholecystectomy to open Cholecystectomy at Gambat Institute of Medical Sciences

Abstract

Aim: To asses some preoperative and intraoperative factors that resulted in the conversion of laparoscopic cholecystectomy to open cholecystectomy at Gambat Institute of Medical sciences. Study Design: A Prospective observational study conducted from March 2014 to March 2017. Methods: This study included 110 patients who underwent laparoscopic cholecystectomy for symptomatic gall stones. The patients having obstructive jaundice, gangrenous gall bladder, gall bladder malignancy and perforated gall bladder were excluded from the study. The factors studies were age, sex and intra operative factors that resulted in the conversion. Results: In this study 15(13.63%) patients were male while 95 (86.36%) were female with a ratio of 1: 11, with an average age of 39 years. The overall 18 (16.36%) patients were converted in to open cholecystectomy among which 5 (27.77%) were male and 13 (72.22%) were female. Conclusion: Preoperative factors in both group of patients were not significantly different except gender where male patients encounter difficulties and increase conversion to open procedure. The most common intraoperative cause of conversion was difficultly in delineating calot’s triangle.