DOI: 10.36347/SASJS.2019.v05i10.005

Pages: 396-399

Introduction: Now a days Laparoscopic cholecystectomy has established itself as the surgical procedure of choice for most of the gall bladder diseases. But in certain circumstances it needs to be converted to open surgery because of various factors. Aim: To evaluate and analyse the factors and circumstances that necessitate conversion of laparoscopic cholecystectomy to open cholecystectomy while performing this minimal access procedure. Materials and Methods: A total of 488 laparoscopic cholecystectomies were attempted and completed in Peerless Hospital and B.K. Roy Research Center, Kolkata from September 2017 to August 2018. Out of these 24(4.92%) cases had to be converted to open cholecystectomy. Various factors leading to conversion were analysed. Result: About 4.92% of the total laparoscopic cholecystectomies required conversion. Male patients were found more prone for conversion (9.27%) as compared to females (2.04%). The commonest operative finding that led to conversion was adhesions in 16 out of 24 (66.66%). The cases that were converted were liable to have much higher chances of iatrogenic injuries to the common bile duct, bowel and more susceptible to post-operative infections. Conclusion: Male patient and operative findings of adhesions led to the highest incidence of conversion of laparoscopic to open cholecystectomy. Knowledge and suspicion of possibility based on preoperative assessment of these factors helps in better preoperative surgical planning and patient counseling.