Effects of Previous Abdominal Surgery Incision Type on Complications and Conversion Rate in Laparoscopic Cholecystectomy

For laparoscopic cholecystectomy, previous abdominal operations are seen as it relative contraindication. The purpose of this Study Was to investigate the effects of the incision type of previous abdominal surgery oil laparoscopic cholecystectomy in terms of complications and conversion to open Surgery. Data from 677 patients who had previously undergone abdominal surgery before undergoing laparoscopic cholecystectomy were prospectively collected and evaluated. From the previous operations, the incisions were tipper abdominal in 66 patients, lower abdominal in 567, and tipper plus lower in 44. Conversion rates in file upper. lower and tipper plus lower groups were 27.27%, 2.82%, and 25%, respectively. Intraoperative major complications were bile (fuel injury (I patient, upper plus lower incision group), small bowel mesentery injury, and aortic injury (I patient each, both in the lower incision group). postoperative major intra-abdominal complications were duodenal injury (I patient, upper incision group) and small intestine injury (I patient, lower incision group). The lower abdominal incision group had fewer adhesions in the Upper abdomen than did the other 2 groups. and as a result had a much lower conversion rate.