1 Department of Surgery, Faculty of Medicine, University of Gezira, Wad Madani, Sudan.
2 General Surgery Council, Sudan Medical Specialization Board, Khartoum, Sudan.
3 Department of Community Medicine, Faculty of Medicine, University of Khartoum, Khartoum, Sudan.
4 Department of Surgery, Faculty of Medicine, University of Bahri, Khartoum, Sudan.
Research Article
World Journal of Advanced Research and Reviews, 2023, 19(03), 577-584
Received on 18 April 2023; revised on 01 September 2023; accepted on 04 September 2023
Background: Laparoscopic cholecystectomy is gold standard for cholecystectomy.
Objective: to determine pre- and intra-operative predictive factors for conversion of laparoscopic cholecystectomy to open.
Methods: It was a comparative cross-sectional study performed in Wad Madani Teaching Hospital. Total coverage of patients (268 participants) admitted for elective laparoscopic cholecystectomy during (September 2020 - June 2021). Dependent variable: open cholecystectomy; independent: socio-demographical characteristics, co-morbid illnesses, body mass index, drug and surgical history; ultrasound and intra-operative findings. Master sheet, SPSS version 25.0 and Chi square test was used. P ≤ 0.05 was considered statistically significant.
Results: Fifty six percent in age group (40-60 years); 87.3% females; 64.3% had normal body mass index; and 53% had history of abdominal surgery. Ultrasound findings: gall bladder wall thickness ≥4 in 91% and wasn’t fibrosed in 63.6%. Intra-operative findings: gall bladder contracted in 54.5%, Twenty-two cases converted to open; 72.3% of them in age group (40-60 years); and 72.3% were female. No statistical association between (socio-demographic characteristics; co-morbid diseases and number of admissions) and conversion of laparoscopic cholecystectomy to open. Regarding ultrasound findings: gall bladder wall thickness < 4 had significant statistical association with laparoscopic cholecystectomy; apart from that there was no significant statistical association with any ultrasound findings and that of both laparoscopic and open cholecystectomy. For intra-operative findings there was statistical association between contracted gall bladder and conversion of laparoscopic cholecystectomy to open surgery.
Conclusion: contracted gall bladder is the main factor for conversion of laparoscopic cholecystectomy to open surgery.
Pre- and Intra-operative Predictive Factors; Conversion of Laparoscopic Cholecystectomy; Sudan
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Mohamed Nasreldin Mohamed Nasreldin, Omer Taha Ahmed Elmukashfi, Taha Ahmed Elmukashfi Elsheikh and Mohammadalmojtaba Ahmad Alhaj Safideen. Pre-operative and Intra-operative Predictive Factors for Conversion of Laparoscopic Cholecystectomy, Wad Madani Teaching Hospital, Gezira State, Sudan; (September 2020 - June 2021). World Journal of Advanced Research and Reviews, 2023, 19(3), 577-584. Article DOI: https://doi.org/10.30574/wjarr.2023.19.3.0999