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Online First Current Issue Archive Most Downloaded Most Accessed « Previous Article Next Article » Original Research   RMJ. 2017; 42(4): 541-545 Factors influencing the outcome of laparoscopic cholecystectomy at Hospital Tuanku Ja’afar Seremban, Malaysia. Tan Shi Hun, Ismail Abdul Sattar Burud, Lau Shi Lin, Annete Hove, Pooja Roy, Dorcas Selwyn, Mahadevan Deva Tata. Abstract Objectives: To identify pre-operative factors that predisposes to conversion of laparoscopic cholecystectomy. Methodology: Patients with symptomatic cholelithiasis from a tertiary hospital were selected for this cross-sectional study. The patient data was obtained from the hospital online database. Patients aged ≥ 18 years with clinical diagnosis of symptomatic cholelithiasis who underwent laparoscopic cholecystectomy from January 2013 to December 2014 were included in the study. Those who underwent planned open cholecystectomy, patients with gallbladder polyps, acalculous cholecystitis and history of previous laparotomy were excluded from the study. Data were analyzed using chi-square test, Fisher’s exact test and logistic regression. Results: Two hundred patients fulfilled the inclusion criteria. Conversion to open cholecystectomy was seen in 28 patients (14%). Patients with acute cholecystitis were 3.4 times more likely and males were 2.5 times more likely to undergo conversion. The likelihood of conversion increased by 0.9 times for each year of increase in age. Patients with diabetes mellitus were 3.8 times more likely to undergo conversion. Hypertension was also a significant factor contributing to a conversion. After a logistic regression analysis, only three factors remained statistically independently significant: diabetes mellitus (95% CI: 0.1 to 0.6), acute cholecystitis (95% CI: 0.1 to 0.7) and male gender (95%CI: 0.7 to 0.9). Conclusions: Decision to convert laparoscopic cholecystectomy to open should be taken earlier in a male patient with diabetes mellitus, acute cholecystitis and advancing age. Key words: Cholelithiasis Laparoscopic cholecystectomy, Conversion to an open surgical procedure, Acute cholecystitis   ARTICLE TOOLS Abstract PDF Fulltext Print this Article How to cite this article Citation Tools Related Records   Articles by Tan Shi Hun Articles by Ismail Abdul Sattar Burud Articles by Lau Shi Lin Articles by Annete Hove Articles by Pooja Roy Articles by Dorcas Selwyn Articles by Mahadevan Deva Tata on Google on Google Scholar Article Statistics   Viewed: 1296 Downloaded: 141 Cited: 0 How to Cite this Article Pubmed Style Hun TS, Burud IAS, Lin LS, Hove A, Roy P, Selwyn D, Tata MD. Factors influencing the outcome of laparoscopic cholecystectomy at Hospital Tuanku Ja’afar Seremban, Malaysia.. RMJ. 2017; 42(4): 541-545. Web Style Hun TS, Burud IAS, Lin LS, Hove A, Roy P, Selwyn D, Tata MD. Factors influencing the outcome of laparoscopic cholecystectomy at Hospital Tuanku Ja’afar Seremban, Malaysia.. http://www.rmj.org.pk/?mno=248568 [Access: October 16, 2018]. AMA (American Medical Association) Style Hun TS, Burud IAS, Lin LS, Hove A, Roy P, Selwyn D, Tata MD. Factors influencing the outcome of laparoscopic cholecystectomy at Hospital Tuanku Ja’afar Seremban, Malaysia.. RMJ. 2017; 42(4): 541-545. Vancouver/ICMJE Style Hun TS, Burud IAS, Lin LS, Hove A, Roy P, Selwyn D, Tata MD. Factors influencing the outcome of laparoscopic cholecystectomy at Hospital Tuanku Ja’afar Seremban, Malaysia.. RMJ. (2017), [cited October 16, 2018]; 42(4): 541-545. Harvard Style Hun, T. S., Burud, I. A. S., Lin, L. S., Hove, A., Roy, P., Selwyn, D. & Tata, M. D. (2017) Factors influencing the outcome of laparoscopic cholecystectomy at Hospital Tuanku Ja’afar Seremban, Malaysia.. RMJ, 42 (4), 541-545. Turabian Style Hun, Tan Shi, Ismail Abdul Sattar Burud, Lau Shi Lin, Annete Hove, Pooja Roy, Dorcas Selwyn, and Mahadevan Deva Tata. 2017. Factors influencing the outcome of laparoscopic cholecystectomy at Hospital Tuanku Ja’afar Seremban, Malaysia.. Rawal Medical Journal, 42 (4), 541-545. Chicago Style Hun, Tan Shi, Ismail Abdul Sattar Burud, Lau Shi Lin, Annete Hove, Pooja Roy, Dorcas Selwyn, and Mahadevan Deva Tata. "Factors influencing the outcome of laparoscopic cholecystectomy at Hospital Tuanku Ja’afar Seremban, Malaysia.." Rawal Medical Journal 42 (2017), 541-545. MLA (The Modern Language Association) Style Hun, Tan Shi, Ismail Abdul Sattar Burud, Lau Shi Lin, Annete Hove, Pooja Roy, Dorcas Selwyn, and Mahadevan Deva Tata. "Factors influencing the outcome of laparoscopic cholecystectomy at Hospital Tuanku Ja’afar Seremban, Malaysia.." Rawal Medical Journal 42.4 (2017), 541-545. Print. APA (American Psychological Association) Style Hun, T. S., Burud, I. A. S., Lin, L. S., Hove, A., Roy, P., Selwyn, D. & Tata, M. D. (2017) Factors influencing the outcome of laparoscopic cholecystectomy at Hospital Tuanku Ja’afar Seremban, Malaysia.. Rawal Medical Journal, 42 (4), 541-545.

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