Abstract

Background: Laparoscopic cholecystectomy is the gold standard procedure for symptomatic cholelithiasis. However some laparoscopic cholecystectomies need to be converted into an open cholecystectomy for various reasons. So it will be very helpful if criteria can be developed for the prediction of difficult laparoscopic cholecystectomies. The objective of this study was to evaluate pre-operative risk factors amounting to the conversion of laparoscopic cholecystectomy into an open cholecystectomy. Methods: This is a prospective study in which 50 patients presenting with definitive diagnosis of cholelithiasis meeting the inclusion criteria, undergoing laparoscopic cholecystectomy were included in the study. A total of 15 score from history, clinical and sonographical findings was used for prediction of risk and score upto 5 is predicted easy, 6-10 moderate risk and above 10 is high risk.

Description