Abstract
Objective: To determine the reasons for
conversion of laparoscopic cholecystectomy to
open cholecystectomy.
Methodology: This descriptive study was
performed at department of Surgery, Chandka
Medical College Teaching Hospital/Shaheed
Mohtarma Benazir Bhutto Medical University,
Larkana, Pakistan from July 2011 to June 2016. All
patients with gall stones, acute and chronic
cholecystitis aged 15 years & above underwent
laparoscopic cholecystectomy.
Results: Out of 1775 patients in this study,
1322(74.4%) were females and 453(25.6%)
males. Age ranged from 22 to 65 years (mean
44±13.7). Out of 1775 patients, 35(1.97%)
required conversion to open and among these,
24(1.81%) were females and 11(2.42%) were
males (P= 0.3897). The most common reason for
conversion to open was dense adhesions due to
cholecystitis in 9(0.50%) patients followed by
obscure anatomy with severely inflammed gall
bladder in 8(0.45%) patients, 6(0.33%) patients
with empyma gall bladder, 5(0.28%) patients due
to suspicion of bile duct injury, 4(0.22%) patients
due to duodenal injury and 2(0.11%) with
cholecysto-enteric fistula.
Conclusion: In this study, 2% patients required
conversion to open and the frequent reasons
were dense adhesions and obscure anatomy.
(Rawal Med J 202;45:92-95).
