ArticleWorld journal of surgery2018
Predicting Conversion from Laparoscopic to Open Cholecystectomy: A Single Institution Retrospective Study.
Article in World journal of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.
- Preoperative Risk Factors for Conversion from Laparoscopic to Open Cholecystectomy: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2022Pooled it
- The Analysis of Risk Factors in the Conversion from Laparoscopic to Open Cholecystectomy.International journal of environmental research and public health · 2020Trial
- Sex-specific associations of SHBG, testosterone, and obesity with cholecystectomy risk: a population-based cohort study.Biology of sex differences · 2026Article
- Differences between xanthogranulomatous cholecystitis and gallbladder adenocarcinoma: an 11-year retrospective study.Internal and emergency medicine · 2025Article
- Establishment and Application of a Grading Management Model for Laparoscopic Cholecystectomy.Medical science monitor : international medical journal of experimental and clinical research · 2025Article
- Abnormal blood glucose on admission and outcomes in older patients with acute calculous cholecystitis.Biomarkers in medicine · 2025Article
- Article
- Standardization of a goal-oriented approach to acute cholecystitis: easy-to-follow steps for performing subtotal cholecystectomy.Langenbeck's archives of surgery · 2024Article
- Review
- Laparoscopic Conversion to Open Cholecystectomy: Is Incidental Gallbladder Cancer Any Different?Cureus · 2024Article
- External application of mirabilite before surgery can reduce the inflammatory response and accelerate recovery in mild acute biliary pancreatitis.BMC gastroenterology · 2023Article
- Novel per-oral cholangioscopy for treatment of occult accessory hepatic duct stones.Gastroenterology report · 2023Article
- The critical view of safety during laparoscopic cholecystectomy: Strasberg Yes or No? An Italian Multicentre study.Surgical endoscopy · 2021Article
- Identification of risk factors for open conversion from laparoscopic cholecystectomy for acute cholecystitis based on computed tomography findings.Surgery today · 2020Article
- Retrospective Analysis of Complications Associated with Laparoscopic Cholecystectomy for Symptomatic Gallstones.Cureus · 2019Article
- Single-incision laparoscopic cholecystectomy with the right accessory hepatic duct diagnosed preoperatively: A case report.Journal of minimal access surgeryArticle
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopic cholecystectomy (LC) is the standard surgical treatment for benign gallbladder disease. Nevertheless, conversion to open cholecystectomy (OC) is needed in some cases. The aim of this study is to calculate our institutional conversion rate and to identify the variables that are implicated in increasing the risk of conversion (LC-OC). MATERIALS AND
methodsWe carried out a retrospective study of all cases of LC performed at the American University of Beirut Medical Center between 2000 and 2015. Each (LC-OC) case was randomly matched to a laparoscopically completed case by the same consultant within the same year of practice, as the LC-OC case, in a 1:5 ratio. Forty-eight parameters were compared between the two study groups.
resultsForty-eight out of 4668 LC were converted to OC over the 15-year study period; the conversion rate in our study was 1.03%. The variables that were found to be most predictive of conversion were male gender, advanced age, prior history of laparotomy, especially in the setting of prior gunshot wound, a history of restrictive or constrictive lung disease and anemia (Hb < 9 g/dl). The most common intraoperative reasons for conversion were perceived difficult anatomy or obscured view secondary to severe adhesions or significant inflammation. Patients who were in the LC-OC arm had a longer length of hospital stay.
conclusionAdvance age, male gender, significant comorbidities and history of prior laparotomies have a high risk of conversion. Patients with these risk factors should be counseled for the possibility of conversion to open surgery preoperatively. Further research is needed to determine whether these high risks patients should be operated on by surgeons with more extensive experience in minimal invasive surgery.
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