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VOL. 7, ISSUE 1 (2022)
Prevalence and reasons for conversion to open surgery in patients undergoing elective laparoscopic cholecystectomy in a tertiary care centre
Authors
P Bonny Natesh, R S Sindhu, P Fahaduzzaman, Ramesh Rajan
Abstract
Background: Despite the advances in technology and improvement in surgical techniques, open conversion is still needed in a small proportion during laparoscopic cholecystectomy. The study intends to look at the prevalence of conversion to open surgery during elective laparoscopic cholecystectomy and elucidate the reasons for the same. Methods: This retrospective single centre study from a tertiary care centre in South India (Government Medical College, Trivandrum) included 204 consecutive laparoscopic cholecystectomy patients. The primary goal was to Calculate the prevalence of conversion to open surgery and secondarily also to describe the reasons for conversion. Results: 21 patients out to 204 (10.29%) required conversion to open surgery for safe completion of cholecystectomy. The reasons for conversion were frozen Calot's triangle (71.4%), Mirizzi syndrome (9.5%), cholecysto-enteric fistula (9.5%), dilated CBD (4.8%), cirrhosis – liver (4.8%). Conclusion: The prevalence of conversion to open surgery during elective cholecystectomy in our tertiary care centre remained acceptable as per literature, the majority of which were due to frozen Calot’s triangle due to inflammation.
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Pages:9-12
How to cite this article:
P Bonny Natesh, R S Sindhu, P Fahaduzzaman, Ramesh Rajan "Prevalence and reasons for conversion to open surgery in patients undergoing elective laparoscopic cholecystectomy in a tertiary care centre ". International Journal of Medicine Research, Vol 7, Issue 1, 2022, Pages 9-12
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