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Original Research 


Determinants of conversion of laparoscopic cholecystectomy to open cholecystectomy

Abdul Ghani Shaikh, Aijaz Ahmed Memon, Saeed Ahmed Shaikh, Abdul Ghaffar Pirzado.

Abstract
Objective: To determine the reasons for conversion of laparoscopic cholecystectomy to open cholecystectomy.
Methodology: This descriptive study was performed at department of Surgery, Chandka Medical College Teaching Hospital/Shaheed Mohtarma Benazir Bhutto Medical University, Larkana, Pakistan from July 2011 to June 2016. All patients with gall stones, acute and chronic cholecystitis aged 15 years & above underwent laparoscopic cholecystectomy.
Results: Out of 1775 patients in this study, 1322(74.4%) were females and 453(25.6%) males. Age ranged from 22 to 65 years (mean 4413.7). Out of 1775 patients, 35(1.97%) required conversion to open and among these, 24(1.81%) were females and 11(2.42%) were males (P= 0.3897). The most common reason for conversion to open was dense adhesions due to cholecystitis in 9(0.50%) patients followed by obscure anatomy with severely inflammed gall bladder in 8(0.45%) patients, 6(0.33%) patients with empyma gall bladder, 5(0.28%) patients due to suspicion of bile duct injury, 4(0.22%) patients due to duodenal injury and 2(0.11%) with cholecysto-enteric fistula.
Conclusion: In this study, 2% patients required conversion to open and the frequent reasons were dense adhesions and obscure anatomy.

Key words: Laparoscopic cholecystectomy, conversion, reasons.


 
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How to Cite this Article
Pubmed Style

Abdul Ghani Shaikh, Aijaz Ahmed Memon, Saeed Ahmed Shaikh, Abdul Ghaffar Pirzado. Determinants of conversion of laparoscopic cholecystectomy to open cholecystectomy. RMJ. 2020; 45(1): 92-95.


Web Style

Abdul Ghani Shaikh, Aijaz Ahmed Memon, Saeed Ahmed Shaikh, Abdul Ghaffar Pirzado. Determinants of conversion of laparoscopic cholecystectomy to open cholecystectomy. http://www.rmj.org.pk/?mno=266301 [Access: March 30, 2020].


AMA (American Medical Association) Style

Abdul Ghani Shaikh, Aijaz Ahmed Memon, Saeed Ahmed Shaikh, Abdul Ghaffar Pirzado. Determinants of conversion of laparoscopic cholecystectomy to open cholecystectomy. RMJ. 2020; 45(1): 92-95.



Vancouver/ICMJE Style

Abdul Ghani Shaikh, Aijaz Ahmed Memon, Saeed Ahmed Shaikh, Abdul Ghaffar Pirzado. Determinants of conversion of laparoscopic cholecystectomy to open cholecystectomy. RMJ. (2020), [cited March 30, 2020]; 45(1): 92-95.



Harvard Style

Abdul Ghani Shaikh, Aijaz Ahmed Memon, Saeed Ahmed Shaikh, Abdul Ghaffar Pirzado (2020) Determinants of conversion of laparoscopic cholecystectomy to open cholecystectomy. RMJ, 45 (1), 92-95.



Turabian Style

Abdul Ghani Shaikh, Aijaz Ahmed Memon, Saeed Ahmed Shaikh, Abdul Ghaffar Pirzado. 2020. Determinants of conversion of laparoscopic cholecystectomy to open cholecystectomy. Rawal Medical Journal, 45 (1), 92-95.



Chicago Style

Abdul Ghani Shaikh, Aijaz Ahmed Memon, Saeed Ahmed Shaikh, Abdul Ghaffar Pirzado. "Determinants of conversion of laparoscopic cholecystectomy to open cholecystectomy." Rawal Medical Journal 45 (2020), 92-95.



MLA (The Modern Language Association) Style

Abdul Ghani Shaikh, Aijaz Ahmed Memon, Saeed Ahmed Shaikh, Abdul Ghaffar Pirzado. "Determinants of conversion of laparoscopic cholecystectomy to open cholecystectomy." Rawal Medical Journal 45.1 (2020), 92-95. Print.



APA (American Psychological Association) Style

Abdul Ghani Shaikh, Aijaz Ahmed Memon, Saeed Ahmed Shaikh, Abdul Ghaffar Pirzado (2020) Determinants of conversion of laparoscopic cholecystectomy to open cholecystectomy. Rawal Medical Journal, 45 (1), 92-95.








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