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- W2894981147 abstract "Introduction: Laparoscopic cholecystectomy is the gold standard procedure for symptomatic calculous cholecystitis. Some of the advantages it offers include less post-operative pain, shorter length of stay, earlier return to function, and more aesthetically acceptable scars. Conversion to open cholecystectomy however still happens in 5% to 25% of patients. It is then potentially beneficial to be able to predict the probability of conversion to open cholecystectomy. If classification by the risk of conversion is made, patients can be better allocated in terms of timing of procedure, venue, and surgeon expertise. This study aims to identify which factors may be associated with a higher risk for conversion to open cholecystectomy. Methods: A retrospective chart review included all laparoscopic cholecystectomy cases in The Medical City in a 10-year period from 2007 to 2016. From this set of subjects, patient, disease, laboratory, and imaging variables were determined. Univariate analysis Kendall's Tau test and Chi square test are used to compare conversion rates among clinical and ancillary variables. Multivariate analysis with logistic regression is used to identify significant independent predictors of conversion. Results and conclusion: Some clinical and ancillary parameters may be used as potential predictors for conversion of laparoscopic to open cholecystectomy. It is recommended to do a prospective randomized trial which may establish the specific predictors of conversion, and further develop a score or a predictive formula which can be used for assignation of cases to the appropriate technique of therapy." @default.
- W2894981147 created "2018-10-12" @default.
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- W2894981147 date "2018-09-01" @default.
- W2894981147 modified "2023-09-30" @default.
- W2894981147 title "Pre-operative risk factors for conversion from laparoscopic to open cholecystectomy: a 10-year retrospective study in a tertiary hospital in Metro Manila, Philippines" @default.
- W2894981147 doi "https://doi.org/10.1016/j.hpb.2018.06.1476" @default.
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