Physio-pathological risk factors from gallbladder affectingthe conversion from laparoscopic cholecystectomy toopen cholecystectomy

Abstract

Aim: Laparoscopic cholecystectomy is the first-line treatment method in the surgical treatment of gallbladder pathologies. Predictingconversion from laparoscopic to open cholecystectomy is still an important problem in the world. In our study, we aimed to investigatethe gallbladder-derived physiopathological risk factors that affect the conversion from laparoscopic to open cholecystectomy. Materials and Methods: 370 patients who underwent cholecystectomy with the indications of symptomatic gallstone, acutecholecystitis, asymptomatic gallstones and gallbladder polyps were included in the study. Patients' demographic data such as ageand sex, and pathological diagnoses, gallbladder wall thickness, and gallbladder volumes were obtained from pathology results. Theeffects of physiological parameters on conversion to open cholecystectomy were compared. Results: The most common indication for surgery is symptomatic gallstones (227 patients, 74.9%). The first preferred surgicaltechnique is laparoscopic cholecystectomy with 86.5%. The conversion rate was 10.5% (n=39). The rate of conversion to opencholecystectomy was found to be high and a statistically significant difference was observed in patients with high gallbladder wallthickness and large sac volume (p