A PROSPECTIVE STUDY OF LAPAROSCOPIC CHOLECYSTECTOMY WITH PARTICULAR REFERENCE TO CONVERSION RATE

Abstract

Background: Laparoscopic Cholecystectomy is established as the primary procedure for the vast majority of patients with benign gall bladder disease .1^st laparoscopic cholecystectomy record in medical literature was performed in March 1987 by Phillip Mouret, in France and in 1992 accepted as new gold standard procedure across world despite of few complications.

Aims and Objectives: To determine the causes of conversion of laparoscopic cholecystectomy to open cholecystectomy.

Material and methods: From September 2018 to September 2019, total 85 patients were diagnosed as cholelithiasis admitted in respective unit postings of SVBP hospital Meerut and 53 cases selected for study of laparoscopic cholecystectomy. Workup of patients done with proper history, clinical examination, blood investigations and ultrasonography abdomen.

Observations and Results: We performed laparoscopic cholecystectomy in 53 cases with male: female ratio of 1:4.9.Conversion  rate was 7.5% .Most common cause of conversion was frozen calot’s with adhesions ,several other factors aid in conversion like age more than 45 years, male gender and acute phase of cholecystitis.

Conclusion:  In our study, we found that laparoscopic cholecystectomy when performed in properly selected patients is very much effective in treatment of symptomatic gall stone disease in term of less complication, less duration of operation and anaesthesia related complication ,cost effectiveness ,early return on work and daily routine activity .Thus laparoscopic cholecystectomy is gold standard procedure for gall stone disease despite of few complications and unavoidable conversion.

Keywords: Cccl, BMI