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Journals / Haydarpaşa Numune Medical Journal / 2020 / Cilt: 60 - Sayı: 1

When Should a Surgeon Think to Convert Laparoscopic Cholecystectomy to Open Surgery? A Retrospective Study

Ekrem FERLENGEZ
Serap Pamak BULUT
Pages
53–59
DOI
—
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Discussion and Conclusion: Regarding patients’ age, gender, increased alkaline phosphatase, gamma-glutamyl transferase and direct bilirubin values, gallbladder wall thickness, presence of bile sludge and presence or suspicion of choledocholithiasis, preoperative endoscopic retrograde cholangiography history parameters as a risk factor in the group OC, there were statistically significant relation.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Introduction: Today, it is still a difficult decision for surgeons to convert from laparoscopic cholecystectomy (LC) to Open cholecystectomy (OC).
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Key Findings & Data:Results: The conversion rate from LC to OC was 7.2%.
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Conclusion & Impact:Discussion and Conclusion: Regarding patients’ age, gender, increased alkaline phosphatase, gamma-glutamyl transferase and direct bilirubin values, gallbladder wall thickness, presence of bile sludge and presence or suspicion of choledocholithiasis, preoperative endoscopic retrograde cholangiography history parameters as a risk factor in the group OC, there were statistically significant relation.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Introduction: Today, it is still a difficult decision for surgeons to convert from laparoscopic cholecystectomy (LC) to Open cholecystectomy (OC). Our aim in this study is to predict the possibility of conversion to OC before the operation by comparing the data of the patients who underwent LC. Methods: Patients were divided into two groups. The first group was the OC group and the second group was the LC group. The data of both groups were compared with various parameters. Results: The conversion rate from LC to OC was 7.2%. The rate of conversion in male patients was 12.8%, and the rate of conversion in female patients was 5.2%. The mean age of the group with OC (52.66±13.77) was statistically higher (p=0.019 <0.05) than the laparoscopy group (47.22±13.04). Discussion and Conclusion: Regarding patients’ age, gender, increased alkaline phosphatase, gamma-glutamyl transferase and direct bilirubin values, gallbladder wall thickness, presence of bile sludge and presence or suspicion of choledocholithiasis, preoperative endoscopic retrograde cholangiography history parameters as a risk factor in the group OC, there were statistically significant relation.

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Cite This Article

FERLENGEZ, E., BULUT, S. P. (2020). When Should a Surgeon Think to Convert Laparoscopic Cholecystectomy to Open Surgery? A Retrospective Study. Haydarpaşa Numune Medical Journal, Cilt: 60 - Sayı: 1, 53–59. https://ajindex.com/articles/203547

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