Indications for Laparoscopic Cholecystectomy Conversions at the University Hospital Center Ibn Rochd: A Prospective Study Over 3 Years

Laparoscopic cholecystectomy is the gold standard in gallbladder surgery whatever the clinical context. Contraindications to laparoscopic cholecystectomy are exceptional, however, there is a significant proportion of patients in whom it cannot be performed successfully and conversion to open surgery will be necessary due to technical difficulties or intraoperative complications. Conversion should not be considered as a failure but rather as a security for the patient. Conversion is often related to surgeon, patient and possibly equipment factors. The aim of our study is to identify the indications and the rate of conversion to open surgery in 10 patients among 482 patients who underwent laparoscopic cholecystectomy in the general surgery department of the CHU Ibn Rochd of Casablanca over a period of 3 years from January 1/ 2014 to December 31/ 2016 and to compare them with the data in the literature.