On causes of conversions to open surgery during laparoscopic cholecystectomy: A report of 156 cases out of 12672 cases
- VernacularTitle:万例腹腔镜胆囊切除术中转开腹原因分析(附156例报告)
- Author:
Qing WANG
;
Mingfang QIN
;
Chengyue GOU
- Publication Type:Journal Article
- Keywords:
Laparoscopic cholecystectomy;
Conversion to open surgery
- From:
Chinese Journal of Minimally Invasive Surgery
2001;0(06):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the causes of conversions to open surgery during laparoscopic cholecystectomy (LC). Methods The study was based on a retrospective review of 156 cases of conversions to laparotomy out of 12672 cases of LC from December 1991 to October 2001 in this hospital. Results Ninety-two (58.97%) cases of conversions were due to complicated clinical condition and preoperative misdiagnosis, 47 (30.13%) cases of conversions due to technological complications, and 17 (10 90%) cases underwent delayed laparotomy. The total conversion rate was 1.23% and the rate of bile duct injuries was 0.2% (26/12672). Conclusions Inadequate preparation, deficiency of experience, complicated clinical situation, and anatomical variation of bile ducts are the leading causes to conversions.
