Abstract
The aim of this study was to evaluate preoperative predictive factors for conversion from laparoscopic to open interval cholecystectomy in acute cholecystitis. The data from 109 consecutive patients undergoing elective laparoscopic cholecystectomy from January 2002 to December 2005 in our hospital were analyzed. The demographics and preoperative data of patients who required conversion to laparotomy were compared with those with successful laparoscopic cholecystectomy. The predictive factors for conversion from laparoscopic to open cholecystectomy in acute cholecystitis patient were significantly associated with stones incarcerated in the cystic duct, cystic duct negative with preoperative radiography and Mirizzi's syndrome. Our results strongly suggest that laparoscopic cholecystectomy with these factors could be associated with an increased conversion rate to open surgery.
