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Open Cholecystectomy Among Patients Undergoing Laparoscopic Cholecystectomy.

C

Chitwan Medical College

Status

Completed

Conditions

Cholecystectomy
Laparoscopic Cholecystectomy
Cholelithiasis

Treatments

Other: No intervention is done

Study type

Observational

Funder types

Other

Identifiers

NCT05366907
CMC-IRC/0770798-271

Details and patient eligibility

About

In the current era, laparoscopic cholecystectomy is the treatment of choice for symptomatic gallstone disease. The aim of this study is to find out the prevalence of open cholecystectomy among patients undergoing laparoscopic cholecystectomy in a tertiary care center.

Full description

Laparoscopic Cholecystectomy (LC) is the gold standard surgery for symptomatic cholelithiasis with low mortality and morbidity.1,2 However, 1% to 15% of conversion rate to Open Cholecystectomy (OC) during laparoscopic cholecystectomy has been reported.3 Converted cases were associated with increased perioperative time, complication rates, perioperative costs, the length of hospital stay, and a higher 30-day readmission rate.3,4 Conversion was also associated with complications including bile leak, bile duct injury, or bleeding, requiring reoperation or transfusion, and death. A recent detailed critical review found that preoperative variables like male gender, older age, high body mass index, previous abdominal surgery, the severity of cholecystitis, and gallbladder wall thickness were associated with the higher rate of conversion to OC.4 However, data regarding its prevalence lacking in our setting.

The aim of this study is to find out the prevalence of open cholecystectomy among patients undergoing laparoscopic cholecystectomy in a tertiary care centre.

Enrollment

345 patients

Sex

All

Ages

10 to 75 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • All the cases of Symptomatic Cholelithiasis elected for Laparoscopic Cholecystectomy

Exclusion criteria

  • Age <10 years,
  • Gall Bladder Malignancy,
  • Adults with preoperative choledocholithiasis, and
  • Perforated gall bladder

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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