Study on the Conversion of Laparoscopic Cholecystectomy Owing to per Operative Complications

Authors

  • Annapareddy Raja Karan Reddy
  • Bagammagari Raghuram Reddy

DOI:

https://doi.org/10.37506/ijphrd.v14i4.18521

Keywords:

Laparoscopic cholecystectomy, Open cholecystectomy, Gallstones, Hepato biliary injury

Abstract

Background: Laparoscopic surgery has advanced to the point that it is being performed even for malignant conditions
in the current healthcare era. Conversion to open technique is a major morbidity of laparoscopy as it loses its supremacy
over open technique once the conversion takes place.
Objectives: To study the Conversion of Laparoscopic Cholecystectomy owing to per operative complications.
Methods: There were a total of 100 patients that matched the criteria for inclusion. A comprehensive medical history
was obtained, as well as a detailed medical examination was done. Blood tests were performed as part of the admissions
process. All of the patients underwent a liver function test. Ultrasonography of the abdomen and upper GI endoscopy
were done on all patients. Patients with suspected pancreatic/common bile duct pathology underwent CECT abdomen.
Patients with increased alkaline phosphatase and dilated CBD/associated CBD pathology underwent MRCP. In all cases,
consent was obtained for conversion if necessary.
Results: Out of 100 cases, 13 cases were converted to open cholecystectomy. In majority of the cases, dense adhesion was
the reason for conversion of laparoscopic cholecystectomy to open cholecystectomy in 38.46%. Arterial injury and difficult
anatomy around calout’s was the reason for conversion in 23% of the cases each. Hepato biliary injury and technical
difficulty was the reason for conversion in 7.69% of the cases each.
Conclusion: Recognizing when a patient is at higher risk for conversion can help with preoperative counselling
and resource allocation in the operating room, can improve safety by limiting the time it takes to convert to an open
cholecystectomy, and can identify patients who would benefit from a planned open approach.

Author Biographies

Annapareddy Raja Karan Reddy

Assistant Professor, Department of General Surgery, Gandhi medical college and hospital, Hyderabad Telangana.

Bagammagari Raghuram Reddy

Professor, Assistant Professor, Department of General Surgery, Gandhi medical college and hospital, Hyderabad Telangana.

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Published

2022-10-10

How to Cite

Annapareddy Raja Karan Reddy, & Bagammagari Raghuram Reddy. (2022). Study on the Conversion of Laparoscopic Cholecystectomy Owing to per Operative Complications. Indian Journal of Public Health Research & Development, 13(4), 44–47. https://doi.org/10.37506/ijphrd.v14i4.18521