Publication: Laparoscopic Cholecystectomy Complication and Conversion Rate
Date
2010
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Background
Laparoscopic cholecystectomy has become standard method for treating gallstone.
However, different centres have reported different complications and conversion
rate. The objective of this study was to evaluate complications and conversion of
laparoscopic cholecystectomy into open cholecystectomy in Dhulikhel Hospital,
Kathmandu University, Nepal.
Methods
Files of all patients who had laparoscopic cholecystectomy from January 2005 to
December 2009 were reviewed. Out of 119 laparoscopic cholecystectomy cases, 102
were included in the study as complete information was lacking in the rest.
Results
Out of 102 cases, 80 were female. Symptomatic cholelithiasis were 76.47%. The mean
hospital stay was 2.48 days. Postoperative complications occured in 5.88% patients.
Conversion rate to open cholecystectomy was 3.92%.
Conclusions
Laparoscopic cholecystectomy is a reliable and safe surgery. With growing experience
in laparoscopic technique, it is possible to bring complications and conversion rate to
minimum. However, there will be no significant improvements once learning curve is
reached. Rather, the nature of biliary injury may become more severe.
Key Words
cholecystectomy, conversion, gallstone, laparascopic
Description
Malla BR1, Shrestha RKM2
1-2Department of Surgery, Dhulikhel Hospital – Kathmandu University Hospital, Dhulikhel, Nepal