Risk Factors of Open Converted Cholecystectomy for Cholelithiasis After Endoscopic Removal of Choledocholithiasis

Overview

Journal Dig Dis Sci

Specialty Gastroenterology

Date 2014 Sep 18

PMID 25228363

Citations 4

Authors

Yong Hwan Kwon

Chang-Min Cho

Min Kyu Jung

Sang Gul Kim

Young Kook Yoon

Affiliations

Soon will be listed here.

Abstract

Background: Open converted cholecystectomy could occur in patients who planned for laparoscopic cholecystectomy after endoscopic removal of choledocholithiasis.

Aim: To evaluate the risk factors associated with open converted cholecystectomy.

Patients And Methods: The data for all patients who underwent cholecystectomy after endoscopic removal of choledocholithiasis were retrospectively reviewed. Factors predictive for conversion to open cholecystectomy were analyzed.

Results: The rate of open converted cholecystectomy was 15.7 %. In multivariate analysis, cholecystitis (OR 1.908, 95 % CI 1.390-6.388, p = 0.005), mechanical lithotripsy (OR 6.129, 95 % CI 1.867-20.123, p < 0.005), and two or more choledocholithiases (OR 2.202, 95 % CI 1.097-4.420, p = 0.026) revealed significant risk factors for conversion to open cholecystectomy. Analyzing the risk factors for open converted cholecystectomy according to duration from endoscopic stone removal to cholecystectomy (within 2 weeks, between 2 and 6 weeks, and beyond 6 weeks), acute cholangitis (OR 3.374, 95 % CI 1.267-8.988, p = 0.015), cholecystitis (OR 3.127, 95 % CI 1.100-8.894, p = 0.033), and mechanical lithotripsy (OR 17.504, 95 % CI 3.548-86.355, p < 0.005) were related to open converted cholecystectomy in ≤2 weeks group.

Conclusions: For patients who need cholecystectomy after endoscopic removal of choledocholithiasis, endoscopic retrograde cholangiography-related factors predictive for open converted cholecystectomy are helpful in planning the appropriate timing of surgery.

Citing Articles

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Comparison of different time intervals between laparoscopic cholecystectomy to endoscopic retrograde cholangiopancreatography for patients with cholecystolithiasis complicated by choledocholithiasis.

Hu L, Shi X, Wang A Front Surg. 2023; 9:1110242.

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Laparoscopic cholecystectomy after endoscopic treatment of choledocholithiasis: a retrospective comparative study.

Trejo-Avila M, Solorzano-Vicuna D, Garcia-Corral R, Bada-Yllan O, Cuendis-Velazquez A, Delano-Alonso R Updates Surg. 2019; 71(4):669-675.

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The Impact of Gallbladder Status on Biliary Complications After the Endoscopic Removal of Choledocholithiasis.

Kim M, Yeo S, Jung M, Cho C Dig Dis Sci. 2015; 61(4):1165-71.

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