Academic Journal

Preoperative and Intraoperative Risk Factors for Conversion of Laparoscopic Cholecystectomy to Open Cholecystectomy: A Systematic Review of 30 Studies

التفاصيل البيبلوغرافية
العنوان: Preoperative and Intraoperative Risk Factors for Conversion of Laparoscopic Cholecystectomy to Open Cholecystectomy: A Systematic Review of 30 Studies
المؤلفون: Chin, Xinlin, Mallika Arachchige, Sachini, Orbell-Smith, Jane, Wysocki, Arkadiusz P.
بيانات النشر: Cureus Inc.
سنة النشر: 2023
المجموعة: James Cook University, Australia: ResearchOnline@JCU
الوصف: This systematic review aims to review articles that evaluate the risk of conversion from laparoscopic to open cholecystectomy and to analyze the identified preoperative and intraoperative risk factors. The bibliographic databases CINAHL, Cochrane, Embase, Medline, and PubMed were searched according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Only English-language retrospective studies and systematic reviews with more than 200 patients were included. The time of publication was limited from 2012 to 2022. Our systematic review identified 30 studies with a total of 108,472 patients. Of those, 92,765 cholecystectomies were commenced laparoscopically and 5,477 were converted to open cholecystectomy (5.90%). The rate of conversion ranges from 2.50% to 50%. Older males with acute cholecystitis, previous abdominal surgery, symptom duration of more than 72 hours, previous history of acute cholecystitis, C-reactive protein (CRP) value of more than 76 mg/L, diabetes, and obesity are significant preoperative risk factors for conversion from laparoscopic to open cholecystectomy. Significant intraoperative risk factors for conversion include gallbladder inflammation, adhesions, anatomic difficulty, Nassar scale of Grades 3 to 4, Conversion from Laparoscopic to Open Cholecystectomy (CLOC) score of more than 6 and 10-point gallbladder operative scoring system (G10) score more than 3.
نوع الوثيقة: article in journal/newspaper
وصف الملف: application/pdf
اللغة: unknown
Relation: http://doi.org/10.7759/cureus.47774; https://researchonline.jcu.edu.au/82764/; https://researchonline.jcu.edu.au/82764/1/82764.pdf; Chin, Xinlin, Mallika Arachchige, Sachini, Orbell-Smith, Jane, and Wysocki, Arkadiusz P. (2023) Preoperative and Intraoperative Risk Factors for Conversion of Laparoscopic Cholecystectomy to Open Cholecystectomy: A Systematic Review of 30 Studies. Cureus, 15 (10). e47774.
الاتاحة: https://researchonline.jcu.edu.au/82764/1/82764.pdf
Rights: open
رقم الانضمام: edsbas.CC49E32D
قاعدة البيانات: BASE