- All Journals
- Al-Qadisiyah University
- Basrah University
- Kirkuk University
- Mosul University
- The Iraqi Borad for Medical Specialization
- University of Anbar
- University of Technology
- Al Mustafa University
- Al-Zahraa University for Women
- Alnoor University
- Kunooz University
- Misan University
- Ninevah University
- Tikrit University
- University of Al-Hamdaniya
- University of Kerbala
Predictability of Conversion From Laparoscopic to Open Cholecystectomy: Retrospective Analysis of Risk Factors | ||
| Iraqi Postgraduate Medical Journal | ||
| Article 1, Volume 9, Issue 1, 2010, Pages 25-30 PDF (0 K) | ||
| Authors | ||
| Layth N. Hindosh; Mohammed K. Mohammed; Mumtaz K. Hanna | ||
| Abstract | ||
| ABSTRACT: BACKGROUND: Laparoscopic Cholecystectomy (LC) is the gold standard operation for cholelithiasis; however, conversion to "Open Cholecystectomy (OC)" is still required in some patients. OBJECTIVE: Is to assess the predictability of conversion by recognition of probable risk factors, a fact that would be beneficial for patient selection and planning of laparoscopic procedures. PATIENTS AND METHODS: Retrospective analysis of data concerning 1350 cases of LC in the last 8 years from 2001 to 2008. RESULT: A total of 28 patients required conversion (overall conversion rate of 2.1%). Preoperative clinical, laboratory and radiological data were evaluated with regard to conversion. Six factors; male gender, age above 45 years, presentation as acute cholecystitis(ACs) , history of repeated attacks of ACs, ultrsonographic gall bladder wall thickness of more than 3 mm. and previous history of upper abdominal operation; showed a statistically significant effect on conversion. Three other factors; raised white Blood Cell (WBC) count, Common Bile Duct (CBD) stone(s) and experience of the surgeon; failed to reach significance. On the basis of Univariate analysis results, all significant predictors were allocated a score, which indicate risk score for conversion. Increasing score was associated with a significantly increased probability of conversion. The optimal cutoff score was 2 with a conversion rate of 3.05 %. Conversion rate was 20% with a score of 8. CONCLUSION: Risk of conversion is predictable on basis of this scoring. Patients predicted to have high risk of conversion may be informed and scheduled appropriately | ||
|
Statistics Article View: 367 PDF Download: 134 |
||