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Article: Factors affecting conversion of laparoscopic cholecystectomy to open surgery
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TitleFactors affecting conversion of laparoscopic cholecystectomy to open surgery
 
AuthorsLiu, CL1
Fan, ST1
Lai, ECS1
Lo, CM1
Chu, KM1
 
Issue Date1996
 
PublisherAmerican Medical Association. The Journal's web site is located at http://www.archsurg.com
 
CitationArchives Of Surgery, 1996, v. 131 n. 1, p. 98-101 [How to Cite?]
 
AbstractObjective: To identify the risk factors predictive of conversion of laparoscopic cholecystectomy to open surgery. Design: Demographic, ultrasonographic, and operative data of patients who underwent laparoscopic cholecystectomy were analyzed. Factors affecting conversion to open surgery were identified with statistical analysis. Setting: A tertiary referral center. Patients: Five hundred patients who underwent laparoscopic cholecystectomies at our institution between March 1991 and July 1994. The patients' data had been prospectively collected. Intervention: Standard laparoscopic techniques with selective preoperative endoscopic retrograde cholangiopancreatography. Main Outcome Measure: Conversion of laparoscopic cholecystectomy to open surgery for management of technical difficulties or intraoperative complications. Results: Increased risk of conversion with statistical significance was found in patients older than 65 years, obese patients, patients who underwent interval elective laparoscopic cholecystectomy for acute cholecystitis, patients with ultrasonographic findings of thickened gallbladder wall, patients seen during the early learning phase of the series, and patients whose surgery was performed by senior surgeons. Increased risk of conversion was not found with patients' sex, previous lower abdominal surgery, history of acute pancreatitis or cholangitis, impaired liver function on presentation, or emergency laparoscopic cholecystectomy for acute cholecystitis. Conclusions: Risk factors, including patient factors, presentation, preoperative ultrasonography, and surgical experience, all contributed to the possibility of conversion. Knowledge of these factors may help in arranging the operating schedule, psychological preparation for the procedure, and planning of the duration of convalescence.
 
ISSN0004-0010
2013 Impact Factor: 4.297
 
ISI Accession Number IDWOS:A1996TN79400024
 
ReferencesReferences in Scopus
 
DC FieldValue
dc.contributor.authorLiu, CL
 
dc.contributor.authorFan, ST
 
dc.contributor.authorLai, ECS
 
dc.contributor.authorLo, CM
 
dc.contributor.authorChu, KM
 
dc.date.accessioned2010-09-06T08:45:55Z
 
dc.date.available2010-09-06T08:45:55Z
 
dc.date.issued1996
 
dc.description.abstractObjective: To identify the risk factors predictive of conversion of laparoscopic cholecystectomy to open surgery. Design: Demographic, ultrasonographic, and operative data of patients who underwent laparoscopic cholecystectomy were analyzed. Factors affecting conversion to open surgery were identified with statistical analysis. Setting: A tertiary referral center. Patients: Five hundred patients who underwent laparoscopic cholecystectomies at our institution between March 1991 and July 1994. The patients' data had been prospectively collected. Intervention: Standard laparoscopic techniques with selective preoperative endoscopic retrograde cholangiopancreatography. Main Outcome Measure: Conversion of laparoscopic cholecystectomy to open surgery for management of technical difficulties or intraoperative complications. Results: Increased risk of conversion with statistical significance was found in patients older than 65 years, obese patients, patients who underwent interval elective laparoscopic cholecystectomy for acute cholecystitis, patients with ultrasonographic findings of thickened gallbladder wall, patients seen during the early learning phase of the series, and patients whose surgery was performed by senior surgeons. Increased risk of conversion was not found with patients' sex, previous lower abdominal surgery, history of acute pancreatitis or cholangitis, impaired liver function on presentation, or emergency laparoscopic cholecystectomy for acute cholecystitis. Conclusions: Risk factors, including patient factors, presentation, preoperative ultrasonography, and surgical experience, all contributed to the possibility of conversion. Knowledge of these factors may help in arranging the operating schedule, psychological preparation for the procedure, and planning of the duration of convalescence.
 
dc.description.natureLink_to_subscribed_fulltext
 
dc.identifier.citationArchives Of Surgery, 1996, v. 131 n. 1, p. 98-101 [How to Cite?]
 
dc.identifier.epage101
 
dc.identifier.hkuros10447
 
dc.identifier.isiWOS:A1996TN79400024
 
dc.identifier.issn0004-0010
2013 Impact Factor: 4.297
 
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dc.identifier.pmid8546587
 
dc.identifier.scopuseid_2-s2.0-0030065281
 
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dc.identifier.urihttp://hdl.handle.net/10722/83845
 
dc.identifier.volume131
 
dc.languageeng
 
dc.publisherAmerican Medical Association. The Journal's web site is located at http://www.archsurg.com
 
dc.publisher.placeUnited States
 
dc.relation.ispartofArchives of Surgery
 
dc.relation.referencesReferences in Scopus
 
dc.titleFactors affecting conversion of laparoscopic cholecystectomy to open surgery
 
dc.typeArticle
 
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<contributor.author>Chu, KM</contributor.author>
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Author Affiliations
  1. The University of Hong Kong