OPEN CONVERSION IN LAPAROSCOPIC CHOLECYSTECTOMY – A SURGICAL TECHNIQUE TO AVOID BILE DUCT INJURIES
Abstract:
Introduction: Biliary gallstones are one of the most common benign pathologies.
Complications of bile duct injuries, especially in the setting of surgically difficult gall bladders are
extremely difficult to treat, sometimes subsequently leading to the stenosis of the bilio-enteric
anastomosis, which require either hepatic resections or even transplants. Results: The conversion rate
in our case study is 1.51%. In the case of those converted to open abdomen (OA) the mean duration of
hospitalization was 7 days. The cause of the conversion to OA was mostly represented by the inability
to correctly identify the anatomy of Calot’s triangle and obtaining an adequate CVS due to an
inflammatory plastron. Conclusions: Laparoscopic cholecystectomy, although a gold standard in the
treatment of biliary gallstones, is accompanied by a fairly high rate of bile duct injuries. Conversion
in the OA should not be considered a failure but a safer way to treat acute cholecystitis with an
intense inflammatory process
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