Laparoscopic cholecystectomy: which predicting factors of conversion? Two Italian center's study

Minerva chirurgica
Samuele VaccariValeria Tonini

Abstract

Laparoscopic cholecystectomy represents the gold standard technique for the treatment of lithiasic gallbladder disease. Although it has many advantages, laparoscopic cholecystectomy is not risk-free and in special situations there is a need for conversion into an open procedure, in order to minimize postoperative complications and to complete the procedure safely. The aim of this study is to identify factors that can predict the conversion to open cholecystectomy. We analyzed 1323 patients undergoing laparoscopic cholecystectomy over the last five years at St Orsola University Hospital-Bologna and Umberto I University Hospital-Rome. Among these, 116 patients (8.7%) were converted into laparotomic cholecystectomy. Clinical, demographic, surgical and pathological data from these patients were included in a prospective database. An univariate analysis was performed followed by a multivariate logistic regression. On univariate analysis, the factors significantly correlated with conversion to open were the ASA score higher than 3 and the comorbidity, specifically cardiovascular disease, diabetes and chronic renal failure (p<0.001). Patients with a higher mean age had a higher risk of conversion to open (61.9±17.1 vs 54.1±15.2, p<0.0...Continue Reading

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