Risk Factors Affecting Conversion in Patients Undergoing Laparoscopic Cholecystectomy

Abstract

Preoperative risk factors evaluated by the present study confirm the likelihood of conversion. Recognition of these factors was important for understanding the characteristics of patients at a higher risk of conversion. Identifying risk factors will help the surgeon to plan and counsel the patients and introduce new policies.

Factores de riesgo preoperatorios asociados a conversión a técnica abierta en colecistectomía laparoscópica de urgencia

“…Estos hallazgos son similares a los encontrados por Zhang, et al, en el 2008, quienes identificaron que la dificultad técnica (incapacidad para identificar correctamente la anatomía y las adherencias alrededor de la vesícula) fue la principal causa de conversión en 1.265 pacientes incluidos en su estudio 17 . El aumento de la edad fue un factor de riesgo para conversión, lo que es compatible con otros estudios 16,18,19 .…”

A study of impact of gender on operative findings and outcome in patients undergoing laparoscopic cholecystectomy

“…Male gender has been found to be an adverse factor in some studies on laparoscopic cholecystectomy. 1,[3][4][5] Male gender is also associated with a more severe disease i.e. a higher proportion of necrotizing and gangrenous cholecystitis.…”

“…7,11 But there are some other studies which suggest that conversion rates are indeed higher in males. 3,4,[12][13][14][15][16] Although conversion to open surgery should not be seen as a complication, as it is done to ensure patient safety usually after a well-considered decision, it is indeed a significant event as it is likely to increase postoperative morbidity and stay. This not only adds to the cost of treatment but the patient might not take it positively if not properly counseled beforehand.…”

“…There are many factors that influence the operative findings, conversion rates and the outcome of surgery. [1][2][3][4] Male gender has been considered by some to be an adverse factor in this regard. 1,[3][4][5][6] But there is conflicting evidence in various studies.…”

“…[1][2][3][4] Male gender has been considered by some to be an adverse factor in this regard. 1,[3][4][5][6] But there is conflicting evidence in various studies. Through this study we intend to find out the role of gender, if any, in the operative findings and outcome of laparoscopic cholecystectomy performed for chronic calculous cholecystitis by comparing the findings and events in peri-operative period in male and female patients.…”