Submit Manuscript Now
Current issue Archive Authors Profile
Research Articles Issue 2 · 2017 · pp. 119–125 · Issue page

THE RIGHT TIME TO CONVERT IN LAPAROSCOPIC CHOLECYSTECTOMY

AN
Ana-Maria PREDOI1
VL
Vlad BALEANU2
GA
Gabriel Razvan Florin MOGOS3
1 MD, Department of Surgery, University of Medicine and Pharmacy of Craiova, Romania
2 MD, Department of Surgery, University of Medicine and Pharmacy of Craiova, Romania
3 University assistant, phD, Department of Surgery, University of Medicine and Pharmacy of Craiova, Romania
Corresponding author: [email protected]
Accepted 28 March 2026
Available Online 15 November 2017
Abstract
THE PURPOSE OF THIS PAPER I S TO HIGHLIGHT THE ROLE AND PLACE OF CONVERSION IN LAPAROSCOPIC CHOLECYSTECTOMY. WITHOUT FIXING DOGMA, WE WANT TO MAKE A MODEST CONTRIBUTION TO THE INDICATIONS AND BENEFITS OF A CONVERSION MADE AT AN OPPORTUNE MOMENT, OUTLINING IT AS A PRUDENT SOLUTION THA T AVOIDS IATROGENIC LESIONS, BUT ALSO AN EFFECTIVE WAY TO REPAIR THEM WHEN THESE HAVE OCCURRED. CONVERSION IS THE WAY IN WHICH THE LIMITS OF LAPAROSCOPIC SURGERY ARE FILLED. WE ALSO WANT TO DRAW ATTENTION TO HOW THE INCIDENCE OF THE METHOD HAS EVOLVED AND WHAT EFFORTS ARE BEING MADE TO REDUCE THE CONVERSION RATE INTO LAPAROSCOPIC CHOLECYSTECTOMY. THE LAPAROSCOPIC CHOLECYSTECTOMY CONVERSION REPRESENTS A VALUABLE DECISION WHITCH COMPLETES THE LIMITS OF LAPAROSCOPIC SURGERY IN SOLVING INTRAOPERATORY INCIDENTS AND ACCIDENTS. THIS DECISION MUST BELONGS EXCLUSIVELY TO SURGEON WHO NEEDS TO EVALUATE IN AN APPLIED RIGHT, PRUDENT AND WITHOUT AMPLIFIED PRIDE WAY, HIS SURGICAL POTENTIAL, HIS TEAM POTENTIAL AND THE AVAILABLE TECHNICAL CONDITIONS WE STUDIED A GROUP OF 13 5 PATIENTS WHO UNDERWENT A CLASICAL CHOLECYSTECTOMY CONVERTED FROM A LAPAROSCOPIC ONE, PERFORMED IN THE IV TH SURGERY CLINIC OF CRAIOVA IN THE PERIOD 2001-2015.
Keywords
LAPAROSCOPIC CHOLECYSTECTOMY CONVERSION BILE DUCT INJURY CRITICAL
Full Text
The body of this article is intentionally hidden on the public page. Please use the PDF reader or the PDF download for the complete text.
References
[1]
Michael D. Kelly: Laparoscopic retrograde cholecystectomy. BMC Surgery 2009, 9:19
[2]
Hugh TB: Laparoscopic bile duct injury: Some myths. ANZ J Surg 2002, 72:164-167
[3]
Mouret P. : From the first laparoscopic surgery to the frontiers al laparoscopic surgery: The prospective future. Dig surg 1991, 8:124
[4]
Cuschieri A., Berci G., Mesherry CK.: Laparoscopic cholecystectomy [Editorial]. Am J Surg 1990,159:273
[5]
Zucker KA, Bailey RW., Gadacz TR , et al.: Laparoscopic guided cholecystectomy, Am J Surg, 1990,161:36-44
[6]
Tayeb M, Raza SA, Khan MR, Azami R . Conversion from laparoscopic to o pen cholecystectomy: Multivariate analysis of preoperative risk factors. J Postgrad Med. 2005;51:234–8. [PubMed]
[7]
al Hadi FH, Chiedozi LC, Salem MM, George TV, Desouky M, Pasha SM. Comparison of laparoscopic and open cholecystectomy at Prince Abdulrahman Al Sudairy Hospital, Saudi Arabia. East Afr Med J. 1998;75:536–9.
[8]
Lo CM, Liu CL, Lai EC, Fan ST, Wong J. Early versus delayed laparoscopic cholecystectomy for treatment of acute cholecystitis. Ann Surg. 1996;223:37–42.
[9]
Simopoulos C, Botaitis S, Polychronidis A, Tripsianis G, Karayiannakis AJ. Risk factors for conversion of laparoscopic cholecystectomy to open cholecystectomy. Surg Endosc. 2005;19:905–9.
[10]
Kanaan SA, Murayama KM, Merriam LT, Dawes LG, Prystowsky JB, Rege RV. Risk factors for conversion of laparoscopic to open cholecystectomy. J Surg Res. 2002;106:20–4
[11]
Kuldip S, Ashish O. Laparoscopic cholecystectomy: Is there a need to convert? J Minim Access Surg. 2005;1:59–62.
[12]
Takegami K , Kawaguchi Y, Nakayama H, Kubota Y, Nagawa H . Preoperative grading system for predicting operative conditions in laparoscopic cholecystectomy. Surg Today. 2004;34:331–6.
[13]
Meshikhes AW, al -Dhurais S, Bhatia D, al -Khatir N . Laparoscopic cholecystectomy: The Dammam Central Hospital experience. Int Surg. 1995;80:102–4.
[14]
Al-Saigh AA, Fadl-Elahi FA, Maqboolfazili F. Analysis of laparascopic cholecystectomies in 606 patients: Experience at King Fahad Hospital, Medina. Ann Saudi Med. 1996;16:392–4.
[15]
Nachnani J, Supe A. Pre-operative prediction of difficult laparoscopic cholecystectomy us
[16]
Bingener- Casey J, RichardsML, Strodel WE, Schwesinger WH, Sirinek KR : Reasons for conversion from laparoscopic to open cholecystectomy: a 10-year review. J Gastrointest Surg.2002 Nov-Dec;6(6):800- 5.
[17]
Wagih Ghnnam, Jawid Malek, Emad Shebl, Turky Elbeshry and Ahmad Ibrahim : Rate of conversion and complications of laparoscopic cholecystectomy in a tertiary care center in Saudi Arabia; 2010 Mar-Apr; 30(2): 145–148.
[18]
Dr. Sampurna Roy MD: Photo - microscopic appearance of acute cholecystitis.