Evidence map›Paper›PMID 41080223›Full record

ArticleCureus2025

Predicting Conversion From Laparoscopic to Open Cholecystectomy: A Prospective Risk Factor Analysis and Scoring Model Formulation.

Shesh Kumar, Ramlakhan S Verma, Rafey A Rahman, Somendra Pal Singh, Atif Khan

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Shesh KumarGeneral Surgery, Uttar Pradesh University of Medical Sciences, Etawah, IND.
Ramlakhan S VermaGeneral Surgery, Uttar Pradesh University of Medical Sciences, Etawah, IND.
Rafey A RahmanPediatric Surgery, Uttar Pradesh University of Medical Sciences, Etawah, IND.
Somendra Pal SinghGeneral Surgery, Uttar Pradesh University of Medical Sciences, Etawah, IND.
Atif KhanGeneral Surgery, Uttar Pradesh University of Medical Sciences, Etawah, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Laparoscopic cholecystectomy (LC) is the gold standard treatment for symptomatic gallstone disease. However, a subset of cases requires conversion to open cholecystectomy (OC) due to anatomical challenges or intraoperative complications. Objective To identify the preoperative and intraoperative risk factors associated with conversion of LC to OC and propose a simple scoring system to predict high-risk cases. Methodology A prospective observational study was conducted in the Department of General Surgery, Uttar Pradesh University of Medical Sciences, Saifai, Etawah, a tertiary center in Northern India serving mainly a rural population, from June 2023 to December 2024. Patients undergoing LC for symptomatic cholelithiasis were enrolled. Preoperative variables, including age, gender, comorbidities, previous abdominal surgery, and laboratory markers, were recorded. Intraoperative findings, such as gallbladder appearance, adhesions, Calot's triangle anatomy, presence of common bile duct (CBD) stones, cholecystoenteric fistula, and attainment of the critical view of safety (CVS), were analyzed. Statistical significance was set at

Indexed as

adhesionsconversionlaparoscopic cholecystectomyopen cholecystectomyrisk factorsscoring system

Identifiers

PMID41080223
PMCPMC12510394

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.