The Conversion Rate of Laparoscopic Cholecystectomy to Open Cholecystectomy at King Abdulaziz Medical City, Jeddah, Saudi Arabia: Prevalence and Causes.
| Title: | The Conversion Rate of Laparoscopic Cholecystectomy to Open Cholecystectomy at King Abdulaziz Medical City, Jeddah, Saudi Arabia: Prevalence and Causes. |
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| Authors: | Mikwar Z; Surgical Oncology, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Jeddah, SAU.; Medicine, King Abdullah International Medical Research Center, Jeddah, SAU.; Aljadani FF; Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.; Medicine, King Abdullah International Medical Research Center, Jeddah, SAU.; Alotaibi AK; Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.; Medicine, King Abdullah International Medical Research Center, Jeddah, SAU.; Neazy FA; Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.; Medicine, King Abdullah International Medical Research Center, Jeddah, SAU.; Alsaadi NH; Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.; Medicine, King Abdullah International Medical Research Center, Jeddah, SAU.; Alzahrani MA; Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.; Medicine, King Abdullah International Medical Research Center, Jeddah, SAU.; Awadh A; Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.; Infectious Disease, King Abdullah International Medical Research Center, Jeddah, SAU. |
| Source: | Cureus [Cureus] 2024 Jun 24; Vol. 16 (6), pp. e63026. Date of Electronic Publication: 2024 Jun 24 (Print Publication: 2024). |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: Cureus, Inc Country of Publication: United States NLM ID: 101596737 Publication Model: eCollection Cited Medium: Print ISSN: 2168-8184 (Print) Linking ISSN: 21688184 NLM ISO Abbreviation: Cureus Subsets: PubMed not MEDLINE |
| Imprint Name(s): | Original Publication: Palo Alto, CA : Cureus, Inc. |
| Abstract: | Introduction Laparoscopic cholecystectomy has emerged as the preeminent surgical technique for cholecystectomy. However, in exceptional circumstances, surgeons may encounter significant obstacles that necessitate reverting to the traditional open approach, which has more undesirable complications. In this study, we aimed to identify the factors underlying conversion and to quantify its prevalence in the medical setting of King Abdulaziz Medical City (KAMC) in Jeddah to lower the rate of conversion. Methodology In this retrospective cross-sectional study, a non-probability consecutive sampling technique was utilized to include all patients over 16 years of age who underwent cholecystectomy at KAMC, Jeddah, between January 2009 and June 2022, excluding any patients with missing data. Results The total number of patients operated for cholecystectomy was 2,632, of which 1924 were female (73.1%) and 708 were males (26.9%). Of these patients, only 69 were converted to open (2.62%). Among them, 32 patients were in the age group >60, with the highest conversion rate (7.80%). The leading causes were adhesions in 55 cases (79.71%) and distorted anatomy in 31 cases (44.92%). Conclusion This study shows distorted anatomy and adhesions to be the leading causes of conversion from laparoscopic cholecystectomy to open approach at KAMC with a conversation rate of 2.62%. Furthermore, this article includes a higher number of patients in a longer period compared to other similar literature, which may give more accountable results that help reduce the conversion rate and complications.; (Copyright © 2024, Mikwar et al.) |
| Competing Interests: | Human subjects: Consent was obtained or waived by all participants in this study. King Abdullah International Medical Research Center issued approval SP22J/033/03. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. |
| References: | Surg Endosc. 2018 Feb;32(2):923-929. (PMID: 28779254); East Afr Med J. 1998 Sep;75(9):536-9. (PMID: 10493057); Saudi Med J. 2004 Mar;25(3):299-302. (PMID: 15048165); Am J Surg. 2016 Dec;212(6):1261-1264. (PMID: 28340928); Surgery. 2000 Apr;127(4):405-11. (PMID: 10776431); Saudi J Gastroenterol. 1999 Sep;5(3):117-9. (PMID: 19864735); Saudi J Gastroenterol. 2003 Sep;9(3):124-8. (PMID: 19861815); Indian J Surg. 2017 Oct;79(5):437-443. (PMID: 29089705); Surg Endosc. 2001 Sep;15(9):965-8. (PMID: 11443475); Ann Saudi Med. 2010 Mar-Apr;30(2):145-8. (PMID: 20220265); Cureus. 2019 Aug 20;11(8):e5446. (PMID: 31637145); Int J Surg. 2015 Jun;18:196-204. (PMID: 25958296); Int J Environ Res Public Health. 2020 Oct 18;17(20):. (PMID: 33080991); J Gastrointest Surg. 2002 Nov-Dec;6(6):800-5. (PMID: 12504217); Am Surg. 2012 Aug;78(8):831-3. (PMID: 22856487) |
| Contributed Indexing: | Keywords: conversion to open cholecystectomy; gall bladder diseases and gallstones; gallbladder; laparoscopic cholecystectomy; laparoscopic day surgery |
| Entry Date(s): | Date Created: 20240725 Latest Revision: 20240726 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC11267824 |
| DOI: | 10.7759/cureus.63026 |
| PMID: | 39050302 |
| Database: | MEDLINE |
Journal Article