Role of different factors as preoperative predictors of conversion of laparoscopic cholecystectomy to open cholecystectomy

Assessment of risk factors for difficult surgery in laparoscopic cholecystectomy-An observational study

“…In our study nil patients were converted to open cholecystectomy from 45 (40.91%) patients found to be difficult/very difficult on preoperative evaluation. Moreover, no cases were converted to open from 65 (59.09%) patients found to be easy on preoperative evaluation..The conversion rate in various studies was found to vary between 2.6% and 7.7% [17,27]. The conversion rate in series of Liu et al was reported to be 13.1% in thick wall gall bladder as compared to 7.2% in normal gall bladder, however, they considered gall bladder thickness as 4mm as significant [28].…”

“…Higher incidence of difficult LC and higher conversion rate in male patients have been reported which varied from 5.9% to 41% as compared to 7.18% to 59% in female [26,32,33 ] The decision to convert to open cholecystectomy is usually taken after a considerable time has been spent on trying to successfully perform the laparoscopic procedure. A significant delay in this decision can result in increased morbidity and mortality [17]. Dhanke predictive factors for difficult laparoscopic cholecystectomy and reported that high BMI, history of prior hospitalization, palpable gallbladder, impacted stone and pericholecystic collection are significant predictors of difficult laparoscopic cholecystectomy [34].…”

“…Although considered a simple procedure, certain factors such as difficulty in creating pneumoperitoneum, dissecting triangle of Calot, and controlling hemorrhage from gallbladder bed can lead to unforeseen circumstances. These might include an increase in operation time, injury to vital structures, and conversion to open procedure [17].…”