Open Cholecystectomy Among Patients Undergoing Laparoscopic Cholecystectomy.

Chitwan Medical College345 enrolled

Overview

In the current era, laparoscopic cholecystectomy is the treatment of choice for symptomatic gallstone disease. The aim of this study is to find out the prevalence of open cholecystectomy among patients undergoing laparoscopic cholecystectomy in a tertiary care center.

Laparoscopic Cholecystectomy (LC) is the gold standard surgery for symptomatic cholelithiasis with low mortality and morbidity.1,2 However, 1% to 15% of conversion rate to Open Cholecystectomy (OC) during laparoscopic cholecystectomy has been reported.3 Converted cases were associated with increased perioperative time, complication rates, perioperative costs, the length of hospital stay, and a higher 30-day readmission rate.3,4 Conversion was also associated with complications including bile leak, bile duct injury, or bleeding, requiring reoperation or transfusion, and death. A recent detailed critical review found that preoperative variables like male gender, older age, high body mass index, previous abdominal surgery, the severity of cholecystitis, and gallbladder wall thickness were associated with the higher rate of conversion to OC.4 However, data regarding its prevalence lacking in our setting. The aim of this study is to find out the prevalence of open cholecystectomy among patients undergoing laparoscopic cholecystectomy in a tertiary care centre.

Study Type

OBSERVATIONAL

Enrollment

345

Conditions

Cholelithiasis Laparoscopic Cholecystectomy Cholecystectomy

Interventions

No intervention is doneOTHER

It is a descriptive cross-sectional study so no groups like case/controls are present. All the cases are included in the study.

Eligibility

Sex: ALLMin age: 10 YearsMax age: 75 Years

Medical Language ↔ Plain English

Inclusion Criteria: * All the cases of Symptomatic Cholelithiasis elected for Laparoscopic Cholecystectomy Exclusion Criteria: * Age \<10 years, * Gall Bladder Malignancy, * Adults with preoperative choledocholithiasis, and * Perforated gall bladder

Locations (1)

Chitwan Medical College Teaching Hospital

Bharatpur, Bagmati, Nepal

Outcomes

Primary Outcomes

Laparoscopic to Open cholecystectomy

Demographic details, previous attack of biliary pathology, underlying condition, Huang classification of the biliary system are collected. And conversion rate among these patients were calculated with CR= number of converted surgeries/(number of converted surgeries + number of LC surgeries) × 100) Objectives- To identify the prevalence of conversion rate and, To compare the CR among independent variables- Age, Sex, history of previous attack with dependent variable Open cholecystectomy.

Time frame: 1 year

Data from ClinicalTrials.gov

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