Volume 32 Number 3 (2023)
Conversion of Laparoscopic to Open Cholecystectomy: Experience in A Tertiary Care Hospital
Das CR1 , Alam RJ2 , Salim M3 , Haque SM4 , Saha A5 , Faizi SM6 , Alam MT7
Mymensingh Med J 2023 Jul; 32 (3): 802-806
PMID: 37391977
Abstract
Now-a-days Laparoscopic cholecystectomy is regarded as the gold standard treatment for benign gallbladder disease but in certain situations conversion to open cholecystectomy is extremely important for the safety of the patient. The objective of this study was to evaluate the reason for conversion of this operation to open surgery. This prospective study was carried out on 392 patients in a single unit of Department of Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh and in a private hospital from July 2013 to December 2018. Maximum (28.3%) patients were 31-40 years age group. Majority (75.3%) was female and 24.7% were male. It was observed that only 2.1% were converted due to dense adhesion (n=3), severe inflammation (n=2), difficult to define anatomy of Calot’s triangle (n=2) and Mirizzi syndrome (n=1). Meticulous dissection and proper case selection can reduce the rate of conversion to open surgery.
Keywords: Laparoscopic cholecystectomy, Conversion, Open cholecystectomy
- Associate Professor