16. FREQUENCY OF CONVERSION OF LAP CHOLE WITH OPEN CHOLECYSTECOMY

Muhammad Naeem, Rashid Waheed, Syed Asad Maroof, Munir Ahmad

Department of Surgery, Khyber Teaching Hospital, Peshawar - Pakistan

Abstract

Objective: To determine the frequency and causes of conversion of laparoscopic cholecystectomy ( LC ) into open
cholecystectomy.
Material and Methods: This cross sectional study was conducted at Khyber Teaching Hospital Peshawar,Pakistan,
from January 2016 to June 2016 in the department of surgery. Total 0f 126 patients of symptomatic gallstones disease
fulfilling the inclusion criteria were subjected to laparoscopic cholecystectomy and were followed through out the
procedure to see for any conversion to open cholecystectomy and its cause..
Results: A total of 126 patients underwent LC during the study period.The mean age was 41.32years± 13.40 SD and
age range of 18-68 years. .The total no of cases converted to OC were 12(9.52%).
Conclusion: One disadvantage of LC is the conversion into open procedure. But conversion should not be considered
as complication of the procedure rather it is mature decision by the surgeons to avoid unnecessary lengthening the
duration of surgery once they encounter any difficulty or intraoperative complication.

Keywords: Laparoscopic,cholecystectomy,gall stones, cholelithiasis

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