Risk Factors and Prevalence Associated With Conversion of Laparoscopic Cholecystectomy to Open Cholecystectomy: A Tertiary Care Hospital Experience in Western Mexico

IntroductionLaparoscopic cholecystectomy (LC) is a common procedure used for the treatment of different pathologies caused by gallstones in the gallbladder, and one of the most common indications is acute cholecystitis. The definitive treatment for acute cholecystitis is surgery, and LC is the gold...

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Published in:Curēus (Palo Alto, CA) CA), 2023-09, Vol.15 (9), p.e45720-e45720
Main Authors: Ochoa-Ortiz, Lourdes I, Cervantes-Pérez, Enrique, Ramírez-Ochoa, Sol, Gonzalez-Ojeda, Alejandro, Fuentes-Orozco, Clotilde, Aguirre-Olmedo, Itze, De la Cerda-Trujillo, Liliana F, Rodríguez-Navarro, Fernando M, Navarro-Muñiz, Eliseo, Cervantes-Guevara, Gabino
Format: Article
Language:English
Subjects:
Bile ducts
Body mass index
Cholecystectomy
Confidence intervals
Contraindications
Gallbladder
Gallbladder diseases
Gallstones
Gastroenterology
General Surgery
Hospitals
Laparoscopy
Multivariate analysis
Patients
Population
Regression analysis
Risk factors
Statistical analysis
Surgeons
Surgery
Variables
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Summary:IntroductionLaparoscopic cholecystectomy (LC) is a common procedure used for the treatment of different pathologies caused by gallstones in the gallbladder, and one of the most common indications is acute cholecystitis. The definitive treatment for acute cholecystitis is surgery, and LC is the gold standard. Nevertheless, transoperative complications (like intraoperative bleeding, anatomical abnormalities of the gallbladder, etc.) of LC and some other preoperative factors (like dilatation of bile duct, increased gallbladder wall thickness, etc.) can cause or be a risk factor for conversion to open cholecystectomy (OC). The objective of this study was to determine the risk factors and prevalence associated with the conversion from LC to OC in patients with gallbladder pathology and the indication for LC.Materials and methodsThis was a prospective cohort study. We included patients of both sexes over 18 years of age with gallbladder disease. To determine the risk factors associated with conversion, we performed a bivariate analysis and then a multivariate analysis.ResultsThe rate of conversion to OC was 4.54%. The preoperative factors associated with conversion, in the bivariate analysis, were common bile duct dilatation (p=0.008), emergency surgery (p=0.014), and smoking (p=0.001); the associated intraoperative variables were: laparoscopic surgery duration (p
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.45720