LAPAROSCOPIC CHOLECYSTECTOMY: RATE OF AND REASONS FOR CONVERSION TO OPEN CHOLECYSTECTOMY
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Abstract
Objectives: To determine the conversion rate of Laparoscopic Cholecystectomy (LC) and its reasons to open
surgery.
Material and Methods: This was a descriptive observational study carried out at Khyber Teaching Hospital, Peshawar
from January 2009 to December 2009. Patients were evaluated through standard proforma after detail clinical history,
physical examination and necessary investigations. The cases were analyzed in relation to conversion rate to open
and its reasons.
Results: A total of 335 patients underwent Laparoscopic Cholecystectomy during the study period. The over all rate
of conversion was in 11 (3.28%) patients, with commonest cause being dense adhesions in 6 (54.54%) patients. Bile
duct injury and bleeding were the second common reasons for conversion in 2 (18.18%) cases each. The rate of
conversion was more 7 (2.089%) in acute emergency cases as compared to elective cases 4 (1.19%). The mean
operating time was 46 minutes and the hospital stay was two days.
Conclusion: Our study emphasizes that LC was a safe and preferred method of treatment with acceptable
conversion rate even in acute cases in experienced hands.
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