Surgeons

Biography

Biography: Mohammad Ummair

Abstract

Background & Aim: Laparoscopic cholecystectomy is the most common, minimal invasive procedure in general surgery and has replaced the invasive procedure of open cholecystectomy in the treatment of gall stones. In this study, we wanted to determine the frequency of conversion to open cholecystectomy in elective cases that underwent laparoscopic procedure. Materials & Method: Th is was a retrospective study conducted in surgical department of Northwest General Hospital and Research Center, Peshawar, Pakistan. All the cases were performed by a single experienced General and Laparoscopic Surgeon. All patients who underwent laparoscopic cholecystectomy (n=531) from September 2012 to April 2018 were identifi ed from the medical records maintained in the Department of Health Information and Management Systems. Th ey were considered as 'converted' if laparoscopic cholecystectomy was started initially but due to any reason it could not be continued safely and a conversion to open was necessitated. Cases that required conversion to open procedure in laparoscopic cholecystectomy were analyzed. Th e frequency of conversion to open and the factors responsible for such conversion were also noted. Results: A total of 531 patients were included in the study. Th e mean age was 48.82 years with a standard deviation of 15.06 years. Male and female patients were included in the study. Gender distribution among the 531 patients was analyzed and showed that 115 (21.7%) of those recruited were male and the majority 416 (78.3%) were female. All patients were given standard laparoscopic surgery protocol under general anesthesia. 54 (10.2%) patients were converted to open cholecystectomy whereas 477 (89.8%) ended up with planned laparoscopic procedure. Conclusion: Th e conversion rate to open cholecystectomy in laparoscopic cholecystectomy in our study was 10.2%. Th e most common cause of conversion was gall bladder empyema and adhesion around gall bladder.