The study of laparoscopic cholecystectomy and its Conversion to open Cholecystectomy- Analysis of 1477 Cases in I.Q City Medical College, Durgapur, West Bengal.

Dr. Surit Majumdar; Dr. Rakesh Kumar Verma; Dr. Mohammad Zakiuddin

Volume : VIII, Issue : IV, April - 2019

The study of laparoscopic cholecystectomy and its Conversion to open Cholecystectomy- Analysis of 1477 Cases in I.Q City Medical College, Durgapur, West Bengal.

Dr. Surit Majumdar, Dr. Rakesh Kumar Verma, Dr. Mohammad Zakiuddin

Abstract :

BACKGROUND: Laparoscopic cholecystectomy has now become gold standard option instead of open cholecystectomy for the treatment of cholelithiasis. Over the past two decades, laparoscopic cholecystectomy has become the choice for the surgical treatment of gall bladder disease and cholelithiasis condition. Some patients require conversion to open surgery and several variables have been identified as risk factors that are helpful in predicting the probability of conversion as well as common causes of conversion. AIMS AND OBJECTIVE: This study was planned to identify the circumstances and the risk factors influencing the conversion of laparoscopic cholecystectomy to open procedure. METHODS AND MATERIALS: This is a prospective study conducted over a period of 5 years. A total of 1477 patients who were electively posted for laparoscopic cholecystectomy among which 80 patients got converted in to open cholecystectomy were included in the study. The factors recorded and analysed were age and sex of the patients, presence of diabetes mellitus and previous episode of acute cholecystitis. RESULT: In our study, it has been observed Patient Related Factors- Adult age group, Male gender, Presence of Diabetes Mellitus, Obesity, Previous Abdominal Surgeries, and disease related factors- previous episode of acute cholecystitis, gall bladder wall thickness >4 mm, presence of pericholecystic fluid were found to be significant risk factors in conversion of laparoscopic to open cholecystectomy. CONCLUSION: The risk factors help to predict the difficulty of the procedure and this would permit the surgeon to better inform patients about the risk of conversion from laparoscopic to open cholecystectomy.