A study of causes of conversion of laparoscopic cholecystectomy to open surgery

Completed

Conditions: Cholecystitis, (2) ICD-10 Condition: K80||Cholelithiasis, (3) ICD-10 Condition: K82||Other diseases of gallbladder,

Registration Number: CTRI/2018/11/016338

Lead Sponsor: Poojitha Yalla

Brief Summary: Laparoscopic cholecystectomy is one of the mostcommonly performed laparoscopic surgeries, and conversion to open surgery incase of surgical difficulties or complications happens often. The factorsaffecting or causing conversion have been widely studied with different studiesassessing different factors.

The primary aim of this studyis to assess the factors affecting conversion in our centre, Kasturba Hospital,Manipal and to compare the results with the studies done so far.

All patients posted for laparoscopiccholecystectomy shall be included in the study, these patients shall beassessed preoperatively and postoperatively, using the proforma and in case ofconversion to open surgery, the cause of conversion shall be documented.Intra-operative findings of all cases (irrespective of whether converted ornot) will be assessed.

The data hence collected will be analyzed usingstatistical software.

Outcome Measures:

Identification of risk factors for conversion toopen surgery, preoperatively, which could

- Refine the process of preoperative counseling and informed consent of the patient with those risk factors.

- Help in correcting any modifiable risk factors in these patients, thus reducing the chances of conversion

Identification of intra-operative findings whichare more commonly associated with conversion, and hence a decision to open theabdomen could be taken earlier,

- Thus reducing operative time.

- Preventing any potential major complications which could reduce postoperative morbidity.

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: All

Target Recruitment: 310

Inclusion Criteria

Patients posted for laparoscopic cholecystectomy.

Exclusion Criteria

Gall bladder carcinoma.
Laparoscopy done, cholecystectomy not done/ procedure abandoned.

Study & Design

Study Type: Observational

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Identification of risk factors which cause conversion to open surgery.	2 years
Percentage of cases converted to open surgery.	2 years

Secondary Outcome Measures

Name	Time	Method
To identify preoperative risk factors and intraoperative findings that affect conversion to open surgery	2 years

Trial Locations

Locations (1): Kasturba Hospital Manipal
🇮🇳
Udupi, KARNATAKA, India
Kasturba Hospital Manipal
🇮🇳Udupi, KARNATAKA, India
Dr Poojitha Yalla
Principal investigator
9740604983
poojithayalla@hotmail.com