Author/Authors :
Güngör, B Ondokuz Mayıs Üniversitesi - Tıp Fakültesi - Genel Cerrahi Anabilim Dalı, Turkey , Bal, A Bozok Üniversitesi - Tıp Fakültesi - Genel Cerrahi Anabilim Dalı, Turkey , Polat, C Ondokuz Mayıs Üniversitesi - Tıp Fakültesi - Genel Cerrahi Anabilim Dalı, Turkey , Dicle, K Ondokuz Mayıs Üniversitesi - Tıp Fakültesi - Genel Cerrahi Anabilim Dali, Turkey , Sarp, G Ondokuz Mayıs Üniversitesi - Tıp Fakültesi - Genel Cerrahi Anabilim Dalı, Turkey , Erzurumlu, K Ondokuz Mayıs Üniversitesi - Tıp Fakültesi - Genel Cerrahi Anabilim Dalı, Turkey
Abstract :
Aim: The determination of the risk factors for the conversion of laparoscopic cholecystectomy to open surgery was aimed in this study.Material and Methods: The retrospective analysis of 647 patients operated on laparoscopic cholecystectomy was made. Thirty five patients were converted to open surgery. The indications for conversion to open surgery were discussed under the view of pertinent literature.Results: All of the 647 patients were planned to be operated on laparoscopic cholecystectomy. In 35 patients (5.4%), early or late open surgery (laparotomy) was needed.Four hundred and eigthy two patients were female, 165 were male. Seventeen patients converted to open surgery were male and 18 were female. There was no statistically significant difference in age between males and females who were converted to open surgery (p=0.306). But the rate of male patients converted to open surgery were significantly greater than the rate of females (p=0.009). In nine patients of first 100, open surgery was needed (9%); after first 100 patients the rate of conversion to open surgery became 4.5% (p=0.137). The most frequent indications for open surgery were difficult dissection related with ongoing and previous acute cholecystitis (13 cases), adhesions related with old attack of acute cholecystitis and biliary vascular anomalies (9 cases). Conclusion: The most frequent indications for conversion to open surgery in laparoscopic cholecystectomy were existing acute cholecystitis and adhesions related with previous acute cholecystitis. The conversion rates in first 100 cases were more than that of later cases related with the experience. Male patients had a significantly increased rate of conversion to open surgery.
