Conversion rate of laparoscopic cholecystectomy in a sample of patients from Al-Diwaniyah teaching hospital

Abstract

Back ground:

Laparoscopy became used as a surgical procedure for the removal of gallbladder by Lukichev in

1983 and Muhe in 1985. Those procedures gained little attention and popularity till the well acknowledged laparoscopic cholycystectomy which was performed by the French gynecologist Mouret in 1987.

Aims of the study:

To evaluate the rate of conversion of laparoscopic cholecystectomy into open surgery and its predisposing factors.

Patients and methods: A total number of 1077 patients undergoing elective laparoscopic cholecystectomy were enrolled in the presents study. The sample was composed of 932 females and 145 males and their age ranged from 9-86 years. The study was conducted in Al-Dewaniyiah teaching hospital from January 2015 through December 2015.

Results: The occurrence of disease in female patients was significantly higher than that of male patients (P<0.001). The conversion rate of laparoscopic cholycystectomy into open surgery was reported in 13 out of 1077 (1.2%). The conversion was reported only in the following intervals:

30-39 years (0.7%), 40-49 years (1.6%), 50-59 years (3.5%) and 60-69% (0.8%). The rate of conversion was significantly higher in males than females (P<0.001).

Conclusions: Conversion rate is acceptable in view with available data. Risks for conversion included: Male gender, advanced age, dense adhesion, diabetes, CBD injury and Cholecystoduodenal fistula.