Laparoscopic cholecystectomy conversion in relation to previous laparotomy

ABSTRACT

Laparoscopic cholecystectomy [L.C] has replaced open cholecystectomy for the treatment of gall bladder disease. However, certain cases still require conversion to open procedure. Several studies have predicted the operative condition and conversion rate of L.C from clinical manifestations, laboratory findings, ultrasonic findings, surgeon skill, etc. Previous laparotomy was considered as contraindication for L.C while in its beginning. The current study tried to predict the patients with previous laparotomies who are liable to conversion to open cholecystectomy. 22 patients with previous laparotomies were selected for the study and a similar number were chosen as a control group. Modified method of L.C was performed for the first group and classic L.C for control group. two cases from the first group needed conversion to open cholecystectomy [9%], while no one needed conversion from the control group [0%]. No major complications for all, but minor complications in both group [4 cases-18%] had occurred. Except for patients with previous laparotomy for peritonitis, L.C is a safe procedure