TY - JOUR ID - TI - Preoperative Predilection of Conversion to Open in Laparoscopic Cholecystectomy AU - Alaa Bakir Raheem1, Hussein Oudah Al-Jasmawi2, Ameer Kadhim Al-Humairi PY - 2020 VL - 17 IS - 4 SP - 341 EP - 346 JO - Medical Journal of Babylon مجلة بابل الطبية SN - 1812156X 23126760 AB - Background: With the new era of laparoscopic surgery within the last three decades, laparoscopic cholecystectomy emerges as thegolden standard treatment for gallbladder disease and cholitiasis; laparoscopic treatment not always seems to be successfully completedlaparoscopically. Making attempts for completing the procedure it is laparoscopically is challenging some times and conversion occurs.This study is to discuss the conversion main causes try to detect patients at risk factors for conversion in laparoscopic cholecystectomy.Objectives: The aim of the study was to predict which patients are having greatest risk factors for possible conversion to open procedureinstead of being completed laparoscopically. Materials and Methods: This is a cross‑sectional study performed retrospectively fromOctober 2007 to January 2019 to detect the patients at risk factors for conversion in patients who started laparoscopically and conver toopen approach occurred started by started via. All the procedures were performed by the same operator team surgeon. Surgery was doneat AL‑Hilla General Teaching Hospital, AL‑Sadeque General Teaching Hospital, and in many private hospitals in Babylon Governance.A routine preoperative history, clinical examinations, and US, EX, and laboratory investigations were done for all patients, whileabdominal Computerized Axial Tomography (CAT) scan, endoscopic retrograde cholangiopancreatography, and magnetic resonancecholangiopancreatography were done for selected patients if indicated. Many patients have different associated comorbid diseases. Thereare no selection criteria as all patients have no contraindications for laparoscopic surgery. Results: This study included 344 patients;62 males (18.0%) and 282 females (82.0%). There are different age groups: the mean age is 42.38 (11–85) years for different gallbladderdiseases including calculus cholecystitis, acalculus cholecystitis, microlithiasis, cholecystitis causing biliary pancreatitis, and empyemaof gallbladder. Data were analyzed retrospectively as the results of surgical procedures outcome which show that only 11 patients (3.2%)whom underwent conversion from a total of 344 patients of the study. Conclusion: There are several factors associated with increasedrisk of conversion, but this study showed that there is no association with age, diabetes mellitus, and abnormal anatomical variations asrisk factor for conversion.

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