2007
DOI: 10.1016/j.surg.2007.07.010
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Preoperative findings predict conversion from laparoscopic to open cholecystectomy

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Cited by 136 publications
(199 citation statements)
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“…Depending on the availability of local expertise and resources, consideration should be given to referring very high risk patients to a specialist unit. Several risk scores have been published previously, 1,3,8,[20][21][22] but all have failed to be incorporated into routine clinical practice. Early scores have been derived from small, retrospective series using subjective variables and included data from the learning curve of the laparoscopic era.…”
Section: Discussionmentioning
confidence: 99%
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“…Depending on the availability of local expertise and resources, consideration should be given to referring very high risk patients to a specialist unit. Several risk scores have been published previously, 1,3,8,[20][21][22] but all have failed to be incorporated into routine clinical practice. Early scores have been derived from small, retrospective series using subjective variables and included data from the learning curve of the laparoscopic era.…”
Section: Discussionmentioning
confidence: 99%
“…Conversion to an open procedure is necessary in 5-10% of patients, and is associated with increased morbidity, prolonged hospitalization and longer recovery compared to a laparoscopic approach. [1][2][3][4] Common indications for conversion include failure to demonstrate the 'critical view of safety' , 1,2,5,6 or the presence of an intraoperative complication, such as intestinal perforation, haemorrhage or bile duct injury. Several factors increase the risk of conversion to open, including age, 4 male sex, 3,7 obesity, 1,2 cholecystitis 2,3,7 and previous ERCP.…”
Section: Introductionmentioning
confidence: 99%
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“…Evidence for factors that might contribute to surgical difficulty during LC are ambiguous despite several existing studies (preoperative radiological findings [4][5][6], the optimal timing for LC [3,7], indications of preoperative interventions such as percutaneous transhepatic gallbladder drainage [8,9], etc). Most of the previous publications have adopted either the duration of surgery [4][5][6] or open conversion rate [10][11][12][13][14] as surrogate markers for surgical difficulty. However, these factors are strongly affected by the skill of each surgeon and center's policy.…”
Section: Introductionmentioning
confidence: 99%