Determinants of Conversion From Laparoscopic to Open Cholecystectomy: Türkiye Case.

Objective: The aim of this study was to determine the characteristics of patients who required conversion from laparoscopic to open cholecystectomy. In addition, we compared the health outcomes of laparoscopic and converted cholecystectomy. Methods: This was a retrospective, cross-sectional study. The laparoscopic cholecystectomy procedures performed in hospitals of the Turkish Ministry of Health in 2016 were examined. Chi-square and Mann-Whitney U tests were used to analyze the data. Results: There were 103,387 laparoscopic cholecystectomy. Of these, 102,294 (98.9%) were laparoscopically completed, whereas 1,093 (1.1%) were converted to open cholecystectomy. The majority (75.9%) of the patients were female. The rate of conversion from laparoscopic to open cholecystectomy; in men ≥65 years of age, patients with chronic renal failure, hypertension, diabetes, malign neoplasm, and cerebrovascular disease were found to be statistically significantly higher than those in the opposing groups. Mortality, complications, intensive care unit treatment rates, and average hospitalization time were found to be statistically significant in cholecystectomy converted to open surgery. Conclusion: Patients who had converted cholecystectomy had more negative health outcomes than those who had completed the procedure laparoscopically. Old age, being male, and having comorbidities and malignancies increase the risk of conversion to open cholecystectomy. These factors can help determine the conversion risk of laparoscopic cholecystectomy to an open procedure. [ABSTRACT FROM AUTHOR]