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Category: Volume 07 Issue 02 February 2019
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Title: Conversion Rates of Laparoscopic Cholecystectomy in the Current Era of Laparoscopic Surgery

Authors: Dr Haleema Neshat, Dr Surapaneni Sushama, Dr Y. Prabhakara Rao

 DOI: https://dx.doi.org/10.18535/jmscr/v7i2.186

Abstract

Background: Laparoscopic cholecystectomy is getting popularity in developing countries like India. Conversion from laparoscopic cholecystectomy to open is also becoming common. This study evaluates the causes and rate of conversion and establishes the efficacy and safety of the procedure.

Methods: This is a retrospective study, conducted in department of General Surgery, at NRI medical college and general hospital from January 2016 to December 2016. Patients of more than 20 years with symptomatic gall stones were included in the study. Patients with dilated CBD, choledocholithiasis, carcinoma gall bladder were excluded.

Results: A total of 85 patients with 33 males, 52 females, 5 patients with conversion were recorded. Most common cause of conversion was adhesions followed by obscured anatomy at CALOT’S triangle.

Conclusion: Most common cause of conversion was dense adhesions followed by obscured anatomy at   CALOT’S TRIANGLE. Learning curve also contributes to conversion rates.

Keywords: laparoscopic cholecystectomy, complications, laparoscopy, conversion, CALOT’S TRIANGLE

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Corresponding Author

Dr Surapaneni Sushama

M.S., General Surgery, Professor, NRI Medical College and General hospital, Chinakakani, Guntur District, Andhra Pradesh, India