Laparoscopic appendectomy (LA) is the preferred surgical approach for acute appendicitis due to its minimally invasive nature and faster recovery. However, certain intraoperative factors may necessitate conversion to open appendectomy (OA), potentially affecting clinical outcomes. To identify the risk factors associated with conversion for Laparoscopic appendicectomy to Open appendicectomy. The study was carried out in Bankura Sammilani Medical College and Hospital, Bankura, West Bengal with time frame of one and half year from acceptance of synopsis. One and half year (April 2020 - September 2021).70 patients were included in this study. Conversion from LA to OA occurred primarily due to severe inflammation (45%), difficult anatomical access (30%) and adhesions (25%). Converted cases exhibited significantly longer operative times and hospital stays, as well as a higher rate of postoperative complications compared to non-converted cases. Understanding the factors leading to conversion from LA to OA can improve preoperative assessment, surgical decision-making and patient outcomes. Identifying high-risk cases preoperatively may help reduce conversion rates and optimize patient management.
Arnab Mondal and D.J. Maulik. Converting a Laparoscopic Appendicectomy to Open: Factors and Outcome of Converted Caces.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.8.18.731.736
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.8.18.731.736