Cholecystitis, Acute, Cholecystitis, Chronic, Cholelithiasis, Gallbladder Diseases
Conditions
Keywords
Laparoscopic cholecystectomy, Conversion, Cholelithiasis, Acute cholecystitis
Brief summary
This retrospective controlled study aims to evaluate risk factors that affect open conversion in laparoscopic cholecystectomy. Patient characteristics, medical history, biochemical and radiological studies of the patient will searched from the hospital database and factors affecting open conversion will be analysed.
Detailed description
Cholecystectomy is a commonly performed procedure in general surgical practice, and with advancements in technology, it is widely conducted using the laparoscopic method. Despite the decreasing trend in open surgical procedures with increasing experience and technological developments, the literature reports conversion to open surgery in laparoscopic cholecystectomy ranging from 2% to 15%. Although some studies exist regarding patient groups at risk of conversion to open surgery, the current literature is insufficient to draw a clear conclusion on this matter. This study aims to evaluate risk factors for conversion to open surgery by examining cases of laparoscopically initiated cholecystectomy. The study will be conducted retrospectively by reviewing archive records. Patients operated for cholecystectomy will be included. Patients that open surgical method used from start will be excluded from study. Age, comorbidities (ASA score), laboratory findings (leukocyte count and CRP), imaging findings (abdominal ultrasound, CT, or MRI), history of previous abdominal surgery, history of ERCP, and history of pancreatitis will be evaluated. Laparoscopic cholecystectomy cases will be compared with open-conversion cholecystectomies to assess factors influencing the conversion.
Interventions
PROCEDURELaparoscopic cholecystectomy
Laparoscopic cholecystectomy: Cholecystectomy that performed with laparoscopic method
PROCEDUREOpen-conversion cholecystectomy
Open-conversion cholecystectomy: Cases in which laparotomy (Generally right subcostal incision) was performed based on intraoperative findings.
Sponsors
Sisli Hamidiye Etfal Training and Research Hospital
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
The study aims to compare cases of laparoscopic cholecystectomy with those undergoing open-conversion cholecystectomy to assess factors influencing the conversion to open surgery.
Eligibility
Sex/Gender
ALL
Age
18 Years to 95 Years
Healthy volunteers
No
Inclusion criteria
* Aged between 18 and 95 years old. * Operated for gallbladder disease (Cholecystectomy) * Surgery must started with laparoscopic approach
Exclusion criteria
* Open surgery from the start * Cholecystectomy as a part of bigger surgical intervention (Such as pancreaticoduodenectomy)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Open-conversion rate | Immediately after the surgery | The rate of cases converted to open surgery among all laparoscopic cholecystectomy cases. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative complication rate | 1 months after the surgery | The rate of postoperative complications |
| Incidental gallbladder malignancy rate | 1 months after the surgery | The rate of incidentally diagnosed gallbladder cancer among all laparoscopic cholecystectomies in patients without a preoperative diagnosis. |
Countries
Turkey (Türkiye)
Outcome results
None listed