Four hundred cases of laparoscopic cholecystectomy candidates were
prospectively followed at the time of surgery by obtaining a data sheet for the
patient’s age, sex, time from the introduction of ports till decision of conversion
and the cause of conversion if present in two years (2006 & 2007) period.
From 400 laparoscopic cholecystectomy, 20 conversions were obtained and the
causes were; wide cystic duct, empyema of the gall bladder, severe obesity, liver
tumor, abnormal position of gall bladder, vascular variation and dense adhesions
with disturbed anatomy. The percentage of conversion was 5%. Eight conversion
cases were males from the total 45 male patients underwent laparoscopic
cholecystectomy. Twelve cases were females out of 355 female patients
underwent laparoscopic cholecystectomy. The percentage of conversion for male
patients was 17.7% while in female patients was 3.3%. Our results showed that
the conversion rate in this study was 5% and the most common cause for
conversion is dense adhesions. No biliary duct injury or severe bleeding that
need conversion is found in this study and the rate for conversion is higher in
male patients.