ArticleCureus2024
Frequency and Predictors of Conversion From Laparoscopic to Open Cholecystectomy: A Single-Center Observational Study.
Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Establishment and Application of a Grading Management Model for Laparoscopic Cholecystectomy.Medical science monitor : international medical journal of experimental and clinical research · 2025Article
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe study aimed to investigate the rate of conversion from laparoscopic cholecystectomy (LC) to open cholecystectomy (OC) in our population and determine the potential risk factors associated with it. Understanding these factors helps surgeons predict complex cases and plan surgeries, reducing patient risks and improving outcomes. METHODOLOGY: A cross-sectional observational study was conducted from June 1, 2022, to May 31, 2023, at Hayatabad Medical Complex, Peshawar, on 349 patients undergoing elective LC. Data on demographics, clinical history, laboratory values, and imaging findings were recorded using a standardized proforma. Intraoperative findings, surgical outcomes, and complications were noted, with statistical analysis performed using IBM SPSS Statistics for Windows, Version 23.0 (Released 2015; IBM Corp., Armonk, New York, United States). Chi-squared, Mann-Whitney U, and logistic regression tests assessed the associations and risk factors of conversion to open surgery.
resultsThe rate of conversion from LC to OC was found to be 13 (3.7%). The multivariate analysis revealed several significant risk factors associated with the conversion. These included male gender, history of jaundice due to gallbladder stones, history of pancreatitis, gallbladder wall thickness greater than 3 mm, white blood cell counts greater than 1000 per microliter of blood, difficulty in handling the gallbladder with instruments intraoperatively, and dense adhesions with surrounding tissues (p<0.05). The risk factor summation pyramid showed a sensitivity of 84.6% and a specificity of 63.8% in predicting the likelihood of conversion, emphasizing the importance of considering each risk factor individually.
conclusionThe rate of conversion to OC was 3.7%. Factors such as male gender, history of jaundice due to gallbladder stones, history of pancreatitis, thick gallbladder wall, high white blood cell count, difficulty in handling the gallbladder, and dense adhesions with surrounding tissues were significantly associated with conversion to OC.
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