FREQUENCY OF CONVERSION TO OPEN CHOLECYSTECTOMY IN PATIENTS UNDERGOING LAPAROSCOPIC CHOLECYSTECTOMY IN MTI-LADY READING HOSPITAL PESHAWAR
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Keywords
Laparoscopic cholecystectomy, conversion rate, open cholecystectomy, BMI, male gender, intraoperative complications, adhesions, difficult anatomy.
Abstract
Objective: The objective of this study was to assess the frequency of conversion to open cholecystectomy in patients undergoing laparoscopic cholecystectomy,
Methodology: A total of 120 patients, aged 18 years and above, were included in this prospective study. Patients were assessed preoperatively for demographic characteristics, including age, gender, and body mass index (BMI). The surgery was performed laparoscopically, and conversion to open cholecystectomy was recorded when necessary due to intraoperative complications such as bleeding, difficult anatomy, or severe adhesions. The reasons for conversion and the factors influencing the conversion rate were analyzed. Statistical analysis was conducted using descriptive statistics and the chi-square test to examine the relationship between categorical variables.
Results: Out of 120 patients, 10 (8.3%) required conversion to open surgery. The male gender (70%) and higher BMI (>24.9 kg/m²) (90%) were notably associated with conversion (p-value = 0.006 and 0.005, respectively). The leading causes for conversion included intraoperative bleeding (40%), adhesions (30%), and difficult anatomy (20%).
Conclusion: The conversion rate to open cholecystectomy was found to be 8.3%, with male gender and higher BMI identified as notable risk factors. Intraoperative complications such as bleeding, adhesions, and difficult anatomy were the main reasons for conversion.
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Dr Wajid
Postgraduate Resident General Surgeon, MTI-Lady Reading Hospital Peshawar
Dr Aima Akbar
Postgraduate Resident General Surgeon, MTI-Lady Reading Hospital Peshawar
Dr Naila Gul
Postgraduate Resident General Surgeon, MTI-Lady Reading Hospital Peshawar
Dr Mohsin Khan
Postgraduate Resident General Surgeon, MTI-Lady Reading Hospital, Peshawar
Dr. Aizaz Ur Rahman
Post graduate Resident Pediatrics, MTI-Lady Reading Hospital, Peshawar
Dr Asawer Gul
MBBS 4th Year Student, Pak international medical college Peshawar
Dr Nabila Sadiq
Postgraduate Resident Gynaecology and obstetrics, MTI-Khyber teaching hospital Peshawar