[Reasons for conversion in laparoscopic cholecystectomy]. 1995

L Lehotský, and M Hutan
Chirurgické oddelenie Nemocnice s poliklinikou Ruzinov v Bratislave, Slovakia.

Laparoscopic cholecystectomy (LCH) is a surgical method which is minimally invasive thus enjoying an increasing popularity among both patients among the patients surgeons. Conversion of laparoscopic cholecystectomy is comprehended as a retrieve to the classical surgical method based on laparotomy in any phase of operation. The study deals with reasons for conversion of the initial one hundred LCH which were performed by 7 surgeons at the Department of Surgery in Ruzinov Hospital in Bratislava during the period from 27.11.1992 to 31.3.1994. Out of one hundred cases, 5 LCH required conversion to open laparotomy--5%. The most frequent rate of conversion is from 3 to 8%. Reasons for conversion in our patients include. Impossibility to introduce safety the trocar with the video camera (1x), unclear anatomic situation (1x), bleeding from the cystic artery (1x), perforation of the gallbladder and subsequent leakage of bile and stones in to the peritoneal cavity (1x), technical failure (1x). We cannot comprehend the conversion of LCH as a failure of the operating surgeon. It insinuates that the surgeon is careful and responsible for his patient. It is a sign of his good surgical judgement.

UI MeSH Term Description Entries
D007431 Intraoperative Complications Complications that affect patients during surgery. They may or may not be associated with the disease for which the surgery is done, or within the same surgical procedure. Peroperative Complications,Surgical Injuries,Complication, Intraoperative,Complication, Peroperative,Injuries, Surgical,Complications, Intraoperative,Complications, Peroperative,Injury, Surgical,Intraoperative Complication,Peroperative Complication,Surgical Injury
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D002763 Cholecystectomy Surgical removal of the GALLBLADDER. Cholecystectomies
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D017081 Cholecystectomy, Laparoscopic Excision of the gallbladder through an abdominal incision using a laparoscope. Cholecystectomy, Celioscopic,Laparoscopic Cholecystectomy,Celioscopic Cholecystectomies,Celioscopic Cholecystectomy,Cholecystectomies, Celioscopic,Cholecystectomies, Laparoscopic,Laparoscopic Cholecystectomies

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