Laparoscopic cholecystectomy conversion rate and associated factors

Objective: To identify risk factor/s for conversion to open cholecystectomy. Methodology A retrospective records review was carried out. Records of all patients who underwent laparoscopic cholecystectomy from January 2008 till December 2009 in Hospital Raja Perempuan Zainab II (HRPZ II), Kota Bharu...

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Main Author:	Osman , Mohd Firdauss
Format:	Thesis
Language:	English
Published:	2011
Subjects:	RC799-869 Diseases of the digestive system Gastroenterology
Online Access:	http://eprints.usm.my/37917/1/Pages_from_Mohd_Firdauss_Osman-RC799-869.pdf
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id	my-usm-ep.37917
record_format	uketd_dc
spelling	my-usm-ep.379172019-04-12T05:26:44Z Laparoscopic cholecystectomy conversion rate and associated factors 2011 Osman , Mohd Firdauss RC799-869 Diseases of the digestive system. Gastroenterology Objective: To identify risk factor/s for conversion to open cholecystectomy. Methodology A retrospective records review was carried out. Records of all patients who underwent laparoscopic cholecystectomy from January 2008 till December 2009 in Hospital Raja Perempuan Zainab II (HRPZ II), Kota Bharu, Kelantan were reviewed and all risk factors were documented. Risks factors for conversion were analysed. Results Of 82 records reviewed, 11 (13.4%) require conversion to open cholecystectomy. Age, gender, co-morbidity and history of prior abdominal surgery were not statistically significant to the conversion rate. Fever, pancreatitis and ultrasound findings of thickened gallbladder wall or pericholecystic fluid collection were not associated with significant risk of conversion. There were significant associations between acute cholecystitis (p-value=0.06, adjusted OR=13.365) and stone in the common bile duct (p-value=0.07, adjusted OR=9.278) with conversion to open cholecystectomy. Conclusion Acute cholecystitis and presence of stone in the common bile duct were associated with higher incidence of conversion to open cholecystectomy 2011 Thesis http://eprints.usm.my/37917/ http://eprints.usm.my/37917/1/Pages_from_Mohd_Firdauss_Osman-RC799-869.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian Sains Perubatan
institution	Universiti Sains Malaysia
collection	USM Institutional Repository
language	English
topic	RC799-869 Diseases of the digestive system Gastroenterology
spellingShingle	RC799-869 Diseases of the digestive system Gastroenterology Osman , Mohd Firdauss Laparoscopic cholecystectomy conversion rate and associated factors
description	Objective: To identify risk factor/s for conversion to open cholecystectomy. Methodology A retrospective records review was carried out. Records of all patients who underwent laparoscopic cholecystectomy from January 2008 till December 2009 in Hospital Raja Perempuan Zainab II (HRPZ II), Kota Bharu, Kelantan were reviewed and all risk factors were documented. Risks factors for conversion were analysed. Results Of 82 records reviewed, 11 (13.4%) require conversion to open cholecystectomy. Age, gender, co-morbidity and history of prior abdominal surgery were not statistically significant to the conversion rate. Fever, pancreatitis and ultrasound findings of thickened gallbladder wall or pericholecystic fluid collection were not associated with significant risk of conversion. There were significant associations between acute cholecystitis (p-value=0.06, adjusted OR=13.365) and stone in the common bile duct (p-value=0.07, adjusted OR=9.278) with conversion to open cholecystectomy. Conclusion Acute cholecystitis and presence of stone in the common bile duct were associated with higher incidence of conversion to open cholecystectomy
format	Thesis
qualification_level	Master's degree
author	Osman , Mohd Firdauss
author_facet	Osman , Mohd Firdauss
author_sort	Osman , Mohd Firdauss
title	Laparoscopic cholecystectomy conversion rate and associated factors
title_short	Laparoscopic cholecystectomy conversion rate and associated factors
title_full	Laparoscopic cholecystectomy conversion rate and associated factors
title_fullStr	Laparoscopic cholecystectomy conversion rate and associated factors
title_full_unstemmed	Laparoscopic cholecystectomy conversion rate and associated factors
title_sort	laparoscopic cholecystectomy conversion rate and associated factors
granting_institution	Universiti Sains Malaysia
granting_department	Pusat Pengajian Sains Perubatan
publishDate	2011
url	http://eprints.usm.my/37917/1/Pages_from_Mohd_Firdauss_Osman-RC799-869.pdf
_version_	1747820679525302272

Laparoscopic cholecystectomy conversion rate and associated factors

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