Causes of Conversion of Laparoscopic Cholecystectomy to open Cholescystectomy
Journal Title: Medpulse International Journal of Surgery - Year 2018, Vol 6, Issue 1
Abstract
Problem statement: Cholecystitis is a global phenomenon prevailing more or less all over the world. Laparoscopic cholecystectomy has rejuvenated general surgery and in very short time has become the gold standard operation for gallbladder. But every rose has its thorns. So although introduction of laparoscopic cholecystectomy has dramatically affected the management of patients with biliary disease, but still there are numerous challenges and unanswered questions that remain regarding issues related to application of laparoscopic techniques to this very common clinical disorder. Methods: Our research work was conducted on one hundred cases during the period from December 2016 to October 2017 in the Department of Surgery M.G.M. Medical College and L.S.K. Hospital Kishanganj, Bihar, with the aim of detecting the causes of conversion of la aroscopic cholecystectomy to open cholecystectomy. Result: Highest incidence of Chronic calculus cholecystitis was detected in the age group of 41 – 50 years (38%) but highest incidence of conversion rate in age group of 51-60 years (19.44%) The ratio of sex incidence was found to be female and male was 1.77: 1 with conversion rate about 1.8: 1 ratio. The presenting features were flatulent dyspepsia (82%) and multiple episodes of pain (biliary colic) in right hypochondrium 69%. Patients with history of multiple episodes of pain in right hypochondrium had higher incidence of conversion rate 17.39% than that of flatulent dyspepsia 10.37%).Conclusion: Our main aim should be to send the patient home in a good healthy status. As the margin of error in our biliary surgery is very narrow, so without increasing postoperative morbidity it will be our better surgical judgment to convert the case to open surgery if laparoscopic surgery is not feasible due to dense adhesion or bleeding.
Authors and Affiliations
Kumar Koustuv
Keywords
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