ISSN 0303-5212
 
2026, Vol: 51, Issue: 2
51 / 2Current Issue Online FirstArchiveAims and ScopeAbstracting & IndexingMost Accessed ArticlesMost Downloaded ArticlesMost Cited Articles
Required files to be uploaded

Author_Certificate-old
Bank Reciept

Original Research 
RMJ. 2011; 36(4): 287-290


Inability to visualize the Calot’s triangle and hemorrhage as cause of conversion of laparoscopic cholecystectomy

Saira Fatima, Ghulam Shabir Shaikh, Aisha.


Abstract
Objective
To determine the frequency of inability to visualize the Calot’s triangle and hemorrhage leading to conversion of laparoscopic cholecystectomy (LC) to open surgery.
Patients and Methods
This cross sectional study was carried out at Department of Surgery, Chandka Medical College Teaching Hospital, Larkana, Pakistan for six months duration.
Consecutive patients admitted with cholelithiasis who underwent LC were included in the study. Statistical analysis was carried out using SPSS version 10.00.

Results
A total of 113 patients were included in the study. Pain in right hypochondrium was the main presenting symptoms (n=111, 98.2%). Twelve (10.6%) needed conversion. Frequency of distorted Calot’s triangle was 58.3% (7 out of 12) and that of hemorrhage was 16.7% (2 out of 12). In 8.3% (1out of 12), both were responsible for conversion while in 16.7% (2 out of 12) equipment failure and gut perforation were the reason for conversion.
Conclusion
We found a conversion rate of 10.6% to open cholecystectomy. We identified the inability to visualize Calot’s triangle being the most frequent cause for this conversion, although this is highly dependent on subjective evaluation of surgeon, his competencies and experience. This could help in developing future specific guidelines and objective assessment tools for conversion. (Rawal Med J 2011;36:287-290).

Key words: Laparoscopic cholecystectomy, Calot’s triangle, open cholecystectomy, cholelithiasis.


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Saira Fatima
Articles by Ghulam Shabir Shaikh
Articles by Aisha
on Google
on Google Scholar

How to Cite this Article
Pubmed Style

Fatima S, Shaikh GS, Aisha . Inability to visualize the Calot’s triangle and hemorrhage as cause of conversion of laparoscopic cholecystectomy . RMJ. 2011; 36(4): 287-290.

Web Style

Fatima S, Shaikh GS, Aisha . Inability to visualize the Calot’s triangle and hemorrhage as cause of conversion of laparoscopic cholecystectomy . https://www.rmj.org.pk/?mno=12736 [Access: June 27, 2026].

AMA (American Medical Association) Style

Fatima S, Shaikh GS, Aisha . Inability to visualize the Calot’s triangle and hemorrhage as cause of conversion of laparoscopic cholecystectomy . RMJ. 2011; 36(4): 287-290.


Vancouver/ICMJE Style

Fatima S, Shaikh GS, Aisha . Inability to visualize the Calot’s triangle and hemorrhage as cause of conversion of laparoscopic cholecystectomy . RMJ. (2011), [cited June 27, 2026]; 36(4): 287-290.


Harvard Style

Fatima, S., Shaikh, . G. S. & Aisha, . (2011) Inability to visualize the Calot’s triangle and hemorrhage as cause of conversion of laparoscopic cholecystectomy . RMJ, 36 (4), 287-290.


Turabian Style

Fatima, Saira, Ghulam Shabir Shaikh, and Aisha. 2011. Inability to visualize the Calot’s triangle and hemorrhage as cause of conversion of laparoscopic cholecystectomy . Rawal Medical Journal, 36 (4), 287-290.


Chicago Style

Fatima, Saira, Ghulam Shabir Shaikh, and Aisha. "Inability to visualize the Calot’s triangle and hemorrhage as cause of conversion of laparoscopic cholecystectomy ." Rawal Medical Journal 36 (2011), 287-290.


MLA (The Modern Language Association) Style

Fatima, Saira, Ghulam Shabir Shaikh, and Aisha. "Inability to visualize the Calot’s triangle and hemorrhage as cause of conversion of laparoscopic cholecystectomy ." Rawal Medical Journal 36.4 (2011), 287-290. Print.


APA (American Psychological Association) Style

Fatima, S., Shaikh, . G. S. & Aisha, . (2011) Inability to visualize the Calot’s triangle and hemorrhage as cause of conversion of laparoscopic cholecystectomy . Rawal Medical Journal, 36 (4), 287-290.


Author LoginReviewer LoginEditorial PoliciesConflict of Interest PolicyPlagiarism PolicyAdvertising Policy

About Rawal Medical Journal

Publication, subscription and Editorial office PMA House G/220-B Liaquat Road, Rawalpindi. Phone: 051-555-9812, Fax: 051-553-7088 Email: drnkhokhar@ya ... Read more.



For best results, please use Internet Explorer or Google Chrome.

Contact Information