Anesthesia & Clinical Research
Open Access
ISSN: 2155-6148
ISSN: 2155-6148
Mohammad Ummair, Muhammad Farid Khan, Abdul Khalil and Amjid Ali Shah
North Cumbria University Hospital, UK
Northwest General Hospital and Research Centre, Pakistan
Scientific Tracks Abstracts: J Anesth Clin Res
Background & Aim: Laparoscopic cholecystectomy is the most common, minimal invasive procedure in
general surgery and has replaced the invasive procedure of open cholecystectomy in the treatment of gall
stones. In this study, we wanted to determine the frequency of conversion to open cholecystectomy in elective
cases that underwent laparoscopic procedure.
Materials & Method: This was a retrospective study conducted in surgical department of Northwest General
Hospital and Research Center, Peshawar, Pakistan. All the cases were performed by a single experienced
General and Laparoscopic Surgeon. All patients who underwent laparoscopic cholecystectomy (n=531)
from September 2012 to April 2018 were identified from the medical records maintained in the Department
of Health Information and Management Systems. They were considered as ‘converted’ if laparoscopic
cholecystectomy was started initially but due to any reason it could not be continued safely and a conversion
to open was necessitated. Cases that required conversion to open procedure in laparoscopic cholecystectomy were
analyzed. The frequency of conversion to open and the factors responsible for such conversion were also noted.
Results: A total of 531 patients were included in the study. The mean age was 48.82 years with a standard
deviation of 15.06 years. Male and female patients were included in the study. Gender distribution among
the 531 patients was analyzed and showed that 115 (21.7%) of those recruited were male and the majority
416 (78.3%) were female. All patients were given standard laparoscopic surgery protocol under general
anesthesia. 54 (10.2%) patients were converted to open cholecystectomy whereas 477 (89.8%) ended up with
planned laparoscopic procedure.
Conclusion: The conversion rate to open cholecystectomy in laparoscopic cholecystectomy in our study was
10.2%. The most common cause of conversion was gall bladder empyema and adhesion around gall bladder.
Mohammad Ummair completed his MBBS at the Khyber Medical College of Pakistan and has recently finished his foundation training in the UK. He is currently enrolled in a post-graduate certification (clinical education) with the University of Dundee. He has published one paper in a peer-reviewed journal and his future aspirations are to pursue a career in surgery.