Can conversion rate be minimized?

ABSTRACT

To evaluate intraoperative difficulties during laproscopic cholecystectomy and to minimize the rate of conversion from laproscopic cholecystectomy to open cholecystectomy. It was a prospective study carried out at Department of Surgery, Ziauddin Medical University Hospital over 2 year period from Jan.2000-Dec.2001. Consecutive patients admitted with the diagnosis of cholelithiasis confirmed on ultrasonography and undergoing laproscopic cholecystectomy during the same admission. Various parameters were analyzed including gender, comorbids, past history of known gall stones, jaundice and previous surgeries Statistical analysis were carried out utilizing SPSS 10.0 for Windows. One hundred and seven patients were included in the study .Mean age was 49.8 with male to female ratio of 14. Laproscopic cholecystectomy was successfully done in 61 [57%], nine patients needed conversion to open cholecystectomy, the reasons for conversions were adhesions at calots triangle, bleeding and instrument failure. 37 patients were excluded from the study [28 were elective open cholecystectomy due to non approval from corporate 6 had CBD exploration and 3 had associated hernia repair. This study was done to identify factors responsible for conversion from laproscopic cholecystectomy to open cholecystectomy