ABSTRACT
Since the discovery of laparoscopic cholecystectomy, it has become the gold standard treatment for gall bladder pathology, especially cholelithiasis. Various complications can lead to open conversion and in our study we aim to study the various factors that can lead to open conversion. Aims & Objectives: 1. To identify the intra operative findings of difficult laparoscopic cholecystectomy which leads to conversion to open procedure. 2. To contribute experience to the existing data in the literature concerning several important aspect of laparoscopic cholecystectomy. Methods: Patients were recruited as per inclusion and exclusion criterion. The intra-operative findings for those patients undergoing open conversion were documented. Documentation of ultrasonographical (USG) findings i.e., gall bladder wall thickness, contracted / distended gall bladder, stone at the neck of gall bladder, pericholecystic collection etc. Results: In our study, 52 patients required open conversion leading to a conversion rate of 7.5 % which is found comparable with literature on similar studies. Conclusion: Surgeon experience, better patient selection etc. can lead to lower rate of conversion of laparoscopic cholecystectomy to open procedure.