Cholecystectomy, Cholelithiasis, Laparoscopic Cholecystectomy
Conditions
Brief summary
In the current era, laparoscopic cholecystectomy is the treatment of choice for symptomatic gallstone disease. The aim of this study is to find out the prevalence of open cholecystectomy among patients undergoing laparoscopic cholecystectomy in a tertiary care center.
Detailed description
Laparoscopic Cholecystectomy (LC) is the gold standard surgery for symptomatic cholelithiasis with low mortality and morbidity.1,2 However, 1% to 15% of conversion rate to Open Cholecystectomy (OC) during laparoscopic cholecystectomy has been reported.3 Converted cases were associated with increased perioperative time, complication rates, perioperative costs, the length of hospital stay, and a higher 30-day readmission rate.3,4 Conversion was also associated with complications including bile leak, bile duct injury, or bleeding, requiring reoperation or transfusion, and death. A recent detailed critical review found that preoperative variables like male gender, older age, high body mass index, previous abdominal surgery, the severity of cholecystitis, and gallbladder wall thickness were associated with the higher rate of conversion to OC.4 However, data regarding its prevalence lacking in our setting. The aim of this study is to find out the prevalence of open cholecystectomy among patients undergoing laparoscopic cholecystectomy in a tertiary care centre.
Interventions
OTHERNo intervention is done
It is a descriptive cross-sectional study so no groups like case/controls are present. All the cases are included in the study.
Sponsors
Chitwan Medical College
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
10 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* All the cases of Symptomatic Cholelithiasis elected for Laparoscopic Cholecystectomy
Exclusion criteria
* Age \<10 years, * Gall Bladder Malignancy, * Adults with preoperative choledocholithiasis, and * Perforated gall bladder
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Laparoscopic to Open cholecystectomy | 1 year | Demographic details, previous attack of biliary pathology, underlying condition, Huang classification of the biliary system are collected. And conversion rate among these patients were calculated with CR= number of converted surgeries/(number of converted surgeries + number of LC surgeries) × 100) Objectives- To identify the prevalence of conversion rate and, To compare the CR among independent variables- Age, Sex, history of previous attack with dependent variable Open cholecystectomy. |
Countries
Nepal
Outcome results
None listed