E-ISSN 2146-8133
 

Original Research (Original Article) 


Conversion to open surgery in the era of laparoscopic cholecystectomy: Changing rates and reasons in geriatric patients

Recep Aktimur, Ali Kagan Gokakin, Koksal Deveci, Mustafa Atabey.

Abstract
Objective: Compared to open surgery; laparoscopic cholecystectomy has become the standard of care for the treatment of cholelithiasis at any age over the last two decades. In the present study, the aim was to identify and to compare the rates and reasons involved in conversion to open procedure in elective surgery for cholelithiasis in geriatric patients over the course of fourteen years.
Methods: To assess the possible differences in the conversion rates and reasons over time, 207 patients over 65 years of age undergoing elective laparoscopic cholecystectomy for chronic cholecystitis were analyzed in two groups - the first ten years (n=141) and the last four years (n=66). Acute cholecystitis, gallbladder malignancy and/or polyps were excluded. Demographic characteristics, comorbidities, history of previous abdominal surgery, preoperative endoscopic retrograde cholangiopancreatography (ERCP) and the reasons and rates involved in conversion to open cholecystectomy were all analyzed.
Results: In male and female patients, the conversion rate was 18.8% and 5.07 %, respectively (p=0.02). In the first ten years, the conversion rate was 11.3%, while in last four years, it was 6.1% (p=0.230). In first ten years, 62.5% of the reason for conversion was found to be dense pericholecystic adhesions related, but in last four years, this rate decreased notably to 25%.
Conclusions: Although there was no statistical significance, in last four years, surgeons seemed to more easily overcome difficult cholecystectomies.

Key words: Cholecystectomy, laparoscopic, conversion, geriatric


 
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How to Cite this Article
Pubmed Style

Aktimur R, Gokakin AK, Deveci K, Atabey M. Conversion to open surgery in the era of laparoscopic cholecystectomy: Changing rates and reasons in geriatric patients. Arch Clin Exp Surg. 2016; 5(1): 27-32. doi:10.5455/aces.20150810031232


Web Style

Aktimur R, Gokakin AK, Deveci K, Atabey M. Conversion to open surgery in the era of laparoscopic cholecystectomy: Changing rates and reasons in geriatric patients. http://www.ejmaces.com/?mno=194080 [Access: May 26, 2018]. doi:10.5455/aces.20150810031232


AMA (American Medical Association) Style

Aktimur R, Gokakin AK, Deveci K, Atabey M. Conversion to open surgery in the era of laparoscopic cholecystectomy: Changing rates and reasons in geriatric patients. Arch Clin Exp Surg. 2016; 5(1): 27-32. doi:10.5455/aces.20150810031232



Vancouver/ICMJE Style

Aktimur R, Gokakin AK, Deveci K, Atabey M. Conversion to open surgery in the era of laparoscopic cholecystectomy: Changing rates and reasons in geriatric patients. Arch Clin Exp Surg. (2016), [cited May 26, 2018]; 5(1): 27-32. doi:10.5455/aces.20150810031232



Harvard Style

Aktimur, R., Gokakin, A. K., Deveci, K. & Atabey, M. (2016) Conversion to open surgery in the era of laparoscopic cholecystectomy: Changing rates and reasons in geriatric patients. Arch Clin Exp Surg, 5 (1), 27-32. doi:10.5455/aces.20150810031232



Turabian Style

Aktimur, Recep, Ali Kagan Gokakin, Koksal Deveci, and Mustafa Atabey. 2016. Conversion to open surgery in the era of laparoscopic cholecystectomy: Changing rates and reasons in geriatric patients. Archives of Clinical and Experimental Surgery (ACES), 5 (1), 27-32. doi:10.5455/aces.20150810031232



Chicago Style

Aktimur, Recep, Ali Kagan Gokakin, Koksal Deveci, and Mustafa Atabey. "Conversion to open surgery in the era of laparoscopic cholecystectomy: Changing rates and reasons in geriatric patients." Archives of Clinical and Experimental Surgery (ACES) 5 (2016), 27-32. doi:10.5455/aces.20150810031232



MLA (The Modern Language Association) Style

Aktimur, Recep, Ali Kagan Gokakin, Koksal Deveci, and Mustafa Atabey. "Conversion to open surgery in the era of laparoscopic cholecystectomy: Changing rates and reasons in geriatric patients." Archives of Clinical and Experimental Surgery (ACES) 5.1 (2016), 27-32. Print. doi:10.5455/aces.20150810031232



APA (American Psychological Association) Style

Aktimur, R., Gokakin, A. K., Deveci, K. & Atabey, M. (2016) Conversion to open surgery in the era of laparoscopic cholecystectomy: Changing rates and reasons in geriatric patients. Archives of Clinical and Experimental Surgery (ACES), 5 (1), 27-32. doi:10.5455/aces.20150810031232





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