An observational study in Cholelithiasis, Laparoscopic Cholecystectomy and Cholecystectomy, sponsored by Chitwan Medical College. Completed at 1 site in Nepal. Open to participants aged 10 Years to 75 Years. Per ClinicalTrials.gov, last updated 2023-09-15.
Sponsored by Chitwan Medical College · Observational
In the current era, laparoscopic cholecystectomy is the treatment of choice for symptomatic gallstone disease. The aim of this study is to find out the prevalence of open cholecystectomy among patients undergoing laparoscopic cholecystectomy in a tertiary care center.
Laparoscopic Cholecystectomy (LC) is the gold standard surgery for symptomatic cholelithiasis with low mortality and morbidity.1,2 However, 1% to 15% of conversion rate to Open Cholecystectomy (OC) during laparoscopic cholecystectomy has been reported.3 Converted cases were associated with increased perioperative time, complication rates, perioperative costs, the length of hospital stay, and a higher 30-day readmission rate.3,4 Conversion was also associated with complications including bile leak, bile duct injury, or bleeding, requiring reoperation or transfusion, and death. A recent detailed critical review found that preoperative variables like male gender, older age, high body mass index, previous abdominal surgery, the severity of cholecystitis, and gallbladder wall thickness were associated with the higher rate of conversion to OC.4 However, data regarding its prevalence lacking in our setting.
The aim of this study is to find out the prevalence of open cholecystectomy among patients undergoing laparoscopic cholecystectomy in a tertiary care centre.
286 studies on the registry are indexed under Cholelithiasis; 48 are open to participants now.
This study's enrollment of 345 is above the median of 200 across 83 observational studies indexed under Cholelithiasis.
Browse Cholelithiasis studies →Chitwan Medical College is the lead sponsor of 4 studies on the registry; none are open to participants now.
Counted across the registry records on this site, refreshed daily.
All the cases of elective LC admitted at the Department of Surgery at CMCTH were included.
Exclusion Criteria:
It is a descriptive cross-sectional study so no groups like case/controls are present. All the cases are included in the study.
Laparoscopic to Open cholecystectomy
Demographic details, previous attack of biliary pathology, underlying condition, Huang classification of the biliary system are collected. And conversion rate among these patients were calculated with CR= number of converted surgeries/(number of converted surgeries + number of LC surgeries) × 100) Objectives- To identify the prevalence of conversion rate and, To compare the CR among independent variables- Age, Sex, history of previous attack with dependent variable Open cholecystectomy.
Time frame: 1 year
Plan to share: Undecided — Data can be provided to the individual interested researcher only on the basis of sound interest in research with good moral intention.
This study is completed, as verified in Sep 2023. You cannot join it, but the record below documents what was studied.
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Chitwan Medical College