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The Analysis of Risk Factors in the Conversion from Laparoscopic to Open Cholecystectomy

Author

Listed:
  • Łukasz Warchałowski

    (Department of General Surgery, Clinical Regional Hospital No. 2 in Rzeszów, 35-301 Rzeszów, Poland)

  • Edyta Łuszczki

    (Institute of Health Sciences, Medical College of Rzeszów University, 35-959 Rzeszów, Poland)

  • Anna Bartosiewicz

    (Institute of Health Sciences, Medical College of Rzeszów University, 35-959 Rzeszów, Poland)

  • Katarzyna Dereń

    (Institute of Health Sciences, Medical College of Rzeszów University, 35-959 Rzeszów, Poland)

  • Marta Warchałowska

    (NZOZ Primadent in Rzeszów, 35-301 Rzeszów, Poland)

  • Łukasz Oleksy

    (Orthopaedic and Rehabilitation Department, Medical University of Warsaw, 02-091 Warszawa, Poland
    Oleksy Medical & Sports Sciences, 37-100 Łańcut, Poland)

  • Artur Stolarczyk

    (Orthopaedic and Rehabilitation Department, Medical University of Warsaw, 02-091 Warszawa, Poland)

  • Robert Podlasek

    (Department of General Surgery, Clinical Regional Hospital No. 2 in Rzeszów, 35-301 Rzeszów, Poland
    Department of Surgery with the Trauma and Orthopedic Division, District Hospital in Strzyżów, 38-100 Strzyżów, Poland)

Abstract

Laparoscopic cholecystectomy is a standard treatment for cholelithiasis. In situations where laparoscopic cholecystectomy is dangerous, a surgeon may be forced to change from laparoscopy to an open procedure. Data from the literature shows that 2 to 15% of laparoscopic cholecystectomies are converted to open surgery during surgery for various reasons. The aim of this study was to identify the risk factors for the conversion of laparoscopic cholecystectomy to open surgery. A retrospective analysis of medical records and operation protocols was performed. The study group consisted of 263 patients who were converted into open surgery during laparoscopic surgery, and 264 randomly selected patients in the control group. Conversion risk factors were assessed using logistic regression analysis that modeled the probability of a certain event as a function of independent factors. Statistically significant factors in the regression model with all explanatory variables were age, emergency treatment, acute cholecystitis, peritoneal adhesions, chronic cholecystitis, and inflammatory infiltration. The use of predictive risk assessments or nomograms can be the most helpful tool for risk stratification in a clinical scenario. With such predictive tools, clinicians can optimize care based on the known risk factors for the conversion, and patients can be better informed about the risks of their surgery.

Suggested Citation

  • Łukasz Warchałowski & Edyta Łuszczki & Anna Bartosiewicz & Katarzyna Dereń & Marta Warchałowska & Łukasz Oleksy & Artur Stolarczyk & Robert Podlasek, 2020. "The Analysis of Risk Factors in the Conversion from Laparoscopic to Open Cholecystectomy," IJERPH, MDPI, vol. 17(20), pages 1-12, October.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:20:p:7571-:d:430758
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    Cited by:

    1. Roberta Magnano San Lio & Martina Barchitta & Andrea Maugeri & Serafino Quartarone & Guido Basile & Antonella Agodi, 2022. "Preoperative Risk Factors for Conversion from Laparoscopic to Open Cholecystectomy: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 20(1), pages 1-15, December.

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