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Conversion to open surgery during laparoscopic common bile duct exploration: Predictive factors and impact on the perioperative outcomes

HPB Jun 18, 2021

Payá-Llorente C, Domingo-del Pozo C, Gonzálvez-Guardiola P, et al. - In this retrospective cohort study, researchers determined the predictive factors associated with conversion during laparoscopic common bile duct exploration (LCBDE) and evaluated the implications of conversion on the patients' postoperative course. In total, 357 patients underwent LCBDE, and the conversion rate was 14.2%. Lithiasis extraction and difficult dissection were the main reasons for conversion. During LCBDE, conversion to open surgery was linked to increased postoperative morbidity. Although emergency surgery and increasing serum bilirubin levels prior to surgery both increase the likelihood of conversion, age was independently associated with a lower risk of conversion.

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