LAPAROSCOPIC CHOLECYSTECTOMY CONVERSION RATE AND ASSOCIATED FACTORS
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Date
2011
Authors
MOHD FIRDAUSS, OSMAN
Journal Title
Journal ISSN
Volume Title
Publisher
Pusat Pengajian Sains Perubatan Universiti Sains Malaysia
Abstract
Objective:
To identify risk factor/s for conversion to open cholecystectomy.
Methodology
A retrospective records review was carried out. Records of all patients who underwent
laparoscopic cholecystectomy from January 2008 till December 2009 in Hospital Raja
Perempuan Zainab II (HRPZ II), Kota Bharu, Kelantan were reviewed and all risk factors were
documented. Risks factors for conversion were analysed.
Results
Of 82 records reviewed, 11 (13.4%) require conversion to open cholecystectomy. Age, gender,
co-morbidity and history of prior abdominal surgery were not statistically significant to the
conversion rate. Fever, pancreatitis and ultrasound findings of thickened gallbladder wall or
pericholecystic fluid collection were not associated with significant risk of conversion.
There were significant associations between acute cholecystitis (p-value=0.06, adjusted
OR=13.365) and stone in the common bile duct (p-value=0.07, adjusted OR=9.278) with
conversion to open cholecystectomy.
Conclusion
Acute cholecystitis and presence of stone in the common bile duct were associated with higher
incidence of conversion to open cholecystectomy.
Description
Keywords
Surgery