Objective: Laparoscopic cholecystectomy has obvious advantages over open surgery with its advantages such as shorter hospital stay after surgery, lower morbidity, better cosmetic results and faster return to daily activities. However, in some cases, conversion to open technique may be inevitable for patient safety or to manage the complication that has occurred. Although various risk factors have been identified in many studies, variables such as technical facilities, surgical technique and experience affect risk factors. Our study aims to identify these risk factors.
Materials and Methods: In this study, 2483 cholecystectomy cases performed in the General Surgery Clinic of our hospital between December 2013 and 2016 were retrospectively analyzed. 110 cholecystectomy cases initiated with open surgery and performed during another operation were excluded from the study, and 88 patients who started laparoscopic and converted to open surgery were selected for the study. Information on the demographic and clinical characteristics of the patients was obtained from hospital records. The data of an equal number of consecutively selected patients from the patients who were completed laparoscopically were obtained and compared, and whether these factors had a significant effect on conversion to open surgery was evaluated.
Results: The rate of conversion from laparoscopic cholecystectomy to open surgery was 3.7%. The most common reason for conversion to open surgery was adhesion due to inflammation (n: 65, 73.9%). Male gender, advanced age, diabetes, median incision above the umbilicus, multiple millimetric calculus and wall thickness increase in ultrasonography (p 0.05). The duration of hospitalization and operation was found to be significantly longer in the open group (p
Key words: Key Words: Laparoscopic cholecystectomy, open cholecystectomy, risk factor
|
