Complications of laparoscopic nephrectomy – determining risk factors for complications and conversion to open surgery after an experience of 402 cases

2015 ◽  
Vol 14 (6) ◽  
pp. e1220
Author(s):  
M. Botea ◽  
I. Chira ◽  
V. Ambert ◽  
D. Badescu ◽  
I. Dragomiristeanu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Open Surgery ◽  
Laparoscopic Nephrectomy ◽  
Conversion To Open Surgery

Risk Factors for Conversion to Open Surgery in Patients Undergoing Laparoscopic Cholecystectomy

2006 ◽  
Vol 30 (9) ◽  
pp. 1698-1704 ◽  
Author(s):  
Salleh Ibrahim ◽  
Tay Khoon Hean ◽  
Lim Swee Ho ◽  
T. Ravintharan ◽  
Tan Ngian Chye ◽  
...  
Keyword(s):  
Risk Factors ◽  
Laparoscopic Cholecystectomy ◽  
Open Surgery ◽  
Conversion To Open Surgery

scholarly journals Assesment of Risk Factors For Conversion To Open Surgery In Patients Undergoing Laparoscopic Cholecystectomy

2016 ◽  
Vol 15 (10) ◽  
pp. 14-18
Author(s):  
Chaudhary Sanchit ◽  
Sharma Maneesh ◽  
Wig JD ◽  
Gupta NM ◽  
Mahajan Amit
Keyword(s):  
Risk Factors ◽  
Laparoscopic Cholecystectomy ◽  
Open Surgery ◽  
Conversion To Open Surgery

Risk factors and consequences of conversion to open surgery in laparoscopic common bile duct exploration

2018 ◽  
Vol 32 (12) ◽  
pp. 4990-4998 ◽  
Author(s):  
Bin Xu ◽  
Yu-Xiang Wang ◽  
Yong-Xin Qiu ◽  
Hong-Bo Meng ◽  
Jian Gong ◽  
...  
Keyword(s):  
Risk Factors ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Open Surgery ◽  
Common Bile Duct Exploration ◽  
Conversion To Open Surgery

scholarly journals A study of the complications among the patients undergoing retroperitoneal and transperitoneal laparoscopic nephrectomy for pyonephrosis

2019 ◽  
Vol 7 (11) ◽  
pp. 4287
Author(s):  
Milind Patil ◽  
Manish Baria ◽  
Ankita Parmar
Keyword(s):  
Complication Rate ◽  
Open Surgery ◽  
Laparoscopic Nephrectomy ◽  
Minor Complication ◽  
Civil Hospital ◽  
Conversion To Open Surgery ◽  
Medical College ◽  
Major Complications ◽  
Low Threshold ◽  
Laparoscopic Transperitoneal

Background: Nowadays laparoscopy have gained wider acceptance in urology that leads to more reports on the potential complications. This study was conducted to evaluate the complications among the patients undergoing retroperitoneal and transperitoneal laparoscopic nephrectomy.Methods: Analysis was done retrospectively through review of a maintained database of 219 consecutive laparoscopic simple nephrectomies done for pyonephrosis from July 2001 to February 2013 at the department of urology Civil Hospital and B J Medical College Ahmedabad.Results: Total 219 simple nephrectomies performed between July 2001 to February 2013 for pyonephrosis. In 165 (75.3%) of patient’s procedure was through trans peritoneal route while retroperitoneal access was used in 54(24.6%) patients. In our study there were major complications in 12 patients with laparoscopic transperitoneal group and in 4 patients in laparoscopic retro peritoneal group. The minor complication rate in present study was 13.3% (22/165) in laparoscopic transperitoneal group and 11.1% (6/54) in laparoscopic retroperitoneal group.Conclusions: There were major complications in patients with laparoscopic transperitoneal group and in few patients in laparoscopic retro peritoneal group. In most other series it was seen that retroperitoneoscopic surgery may be associated with more complications, the findings are unfounded. Minor complications can be managed easily if there is low threshold for conversion to open surgery.

scholarly journals THE STUDY OF CONVERSION OF LAPAROSCOPIC CHOLECYSTECTOMY TO OPEN CHOLECYSTECTOMY IN THE TREATMENT OF ACUTE CHOLECYSTITIS.

2019 ◽  
pp. 1-3
Author(s):  
Dug Tariq Hassan ◽  
Rayees Ahmad Bhat ◽  
Liyaqat Nazir ◽  
Shabir Ahmad Dar ◽  
Mohammad Zakiuddin
Keyword(s):  
Risk Factors ◽  
Laparoscopic Cholecystectomy ◽  
Laparoscopic Surgery ◽  
Open Surgery ◽  
Open Cholecystectomy ◽  
Medical Sciences ◽  
Preoperative Risk ◽  
Conversion To Open Surgery ◽  
Preoperative Risk Factors ◽  
Risk Scoring

BACKGROUND: Laparoscopic cholecystectomy has become the gold standard in the treatment of symptomatic cholelithiasis. Some patients require conversion to open surgery and several preoperative variables have been identified as risk factors that are helpful in predicting the probability of conversion.However,there is a need to devise a risk-scoring system based on the identified risk factors to (a) predict the risk of conversion preoperatively for selected patients, (b) prepare the patient psychologically, (c) arrange operating schedules accordingly, and (d) minimize the procedure-related cost and help overcome financial constraints,which is a significant problem in developing countries. AIM: This study was aimed to evaluate preoperative risk factors for conversion from laparoscopic to open cholecystectomy in our setting. MATERIALS AND METHODS:A case control study of patients who underwent laparoscopic surgery from May 2016 to April 2017 at Shere Kashmir Institute of Medical Sciences, Srinagar. All those patients who were converted to open surgery (n = 73) were enrolled as cases.Two controls who had successful laparoscopic surgery (n = 146) were matched with each case for operating surgeon and closest date of surgery. RESULTS:The final multivariate model identified two risk factors for conversion:ultrasonography signs of inflammation (adjusted odds ratio [aOR] = 8.5;95% confidence interval [CI]:3.3,21.9) and age > 60 years (aOR = 8.1;95% CI:2.9,22.2) after adjusting for physical signs,alkaline phosphatase and BMI levels. CONCLUSION: Preoperative risk factors evaluated by the present study confirm the likelihood of conversion. Recognition of these factors is important for understanding the characteristics of patients at a higher risk of conversion

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