Asian Journal of Research in Surgery

The Laparoscopic Cholecystectomy When to Convert

Bachar Amine

Department of General Surgery, Hospital Center Ibn Rochd, Casablanca, Morocco and University of Hassan II, Casablanca, Morocco.

Bouali Ichrak *

Department of General Surgery, Hospital Center Ibn Rochd, Casablanca, Morocco and University of Hassan II, Casablanca, Morocco.

Benzidane Kamal

Department of General Surgery, Hospital Center Ibn Rochd, Casablanca, Morocco and University of Hassan II, Casablanca, Morocco.

T. El Abbassi

Department of General Surgery, Hospital Center Ibn Rochd, Casablanca, Morocco and University of Hassan II, Casablanca, Morocco.

M. R. Lefriyekh

Department of General Surgery, Hospital Center Ibn Rochd, Casablanca, Morocco and University of Hassan II, Casablanca, Morocco.

*Author to whom correspondence should be addressed.

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Abstract

Laparoscopic cholecystectomy is considered the gold standard in gallbladder surgery across all clinical contexts. Contraindications to laparoscopic cholecystectomy are rare; however, a significant proportion of patients may face challenges leading to unsuccessful laparoscopic procedures, necessitating conversion to open surgery due to technical difficulties or intraoperative complications. It's important to note that conversion should not be perceived as a failure but rather as a safety measure for the patient. Factors contributing to conversion may include surgeon-related, patient-related, and occasionally equipment-related issues. The aim of our study is to identify indications and assess the conversion rate to conventional surgery among 31 out of 1052 patients who underwent laparoscopic cholecystectomy during our study period. We seek to analyze the experience of the Visceral Surgery Department (Wing 1) at CHU Ibn Rochd University Hospital in Casablanca regarding the conversion of laparoscopic cholecystectomies to conventional surgery and to compare our findings with those reported in the literature.

Keywords: Cholecystectomy, laparoscopy, conversion, conventional surgery, visceral surgery, holecystectomies, laparotomy

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