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Conversion of LC to Open Surgery
Table 2: Clinical, laboratory, and imaging findings
CO LC Total cases Chi-square
(n = 38) (n = 272) (N = 310) value p value
Presenting symptoms
RUQ pain Present 26 (16.8%) 143 (83.2%) 155 (100%) 5.878 0.015
Absent 12 (7.7%) 143 (92.3%) 155 (100%)
Radiation to back Present 3 (8.1%) 34 (91.9%) 37 (100%) 0.673 0.412
Absent 35 (12.8%) 238 (87.2%) 273 (100%)
Fever Present 6 (27.3%) 16 (72.7%) 22 (100%) 4.964 0.026
Absent 32 (11.1%) 256 (88.9%) 288 (100%)
Vomiting Present 12 (19.7%) 49 (80.3%) 61 (100%) 3.881 0.046
Absent 26 (10.4%) 223 (89.6%) 249 (100%)
Jaundice Present 3 (23.1%) 10 (76.9%) 13 (100%) 1.447 0.224
Absent 35 (11.8%) 262 (88.2%) 297 (100%)
Interval cholecystectomy Yes 35 (32.7%) 72 (67.3%) 107 (100%) 35.069 0.0001
No 13 (6.4%) 190 (93.6%) 203 (100%)
Past history
Cardiovascular disease Present 14 (17.5%) 66 (82.5%) 80 (100%) 2.755 0.097
Absent 24 (10.4%) 206 (89.6%) 230 (100%)
Diabetes Present 12 (16%) 63 (84%) 75 (100%) 1.288 0.256
Absent 26 (11.1%) 209 (88.9%) 235 (100%)
0.825 Respiratory disease Present 1 (10%) 9 (90%) 10 (100%) 0.049 0.825
Absent 37 (12.3%) 263 (87.7%) 300 (100%)
Previous abdominal surgery Present 2 (4.8%) 40 (95.2%) 42 (100%) 2.538 0.111
Absent 36 (13.4%) 232 (86.6%) 268 (100%)
Clinical findings
Tachycardia Present 9 (34.6%) 17 (65.4%) 26 (100%) 13.189 <0.001
Absent 29 (10.2%) 255 (89.8%) 284 (100%)
Febrile Present 3 (42.9%) 4 (57.1%) 7 (100%) 6.235 0.013
Absent 35 (11.6%) 268 (88.4%) 303 (100%)
RUQ tenderness Present 22 (13.7%) 139 (86.3%) 161 (100%) 0.616 0.432
Absent 16 (10.7%) 133 (89.3%) 149 (100%)
Murphy’s sign Present 6 (40%) 9 (60%) 15 (100%) 11.279 0.001
Absent 32 (10.8%) 263 (89.2%) 295 (100%)
Icterus Present 3 (33.3%) 6 (66.7%) 9 (100%) 3.828 0.043
Absent 35 (11.6%) 266 (88.4%) 301 (100%)
Laboratory investigations
Leukocytosis Present 10 (25.6%) 29 (74.4%) 39 (100%) 7.429 0.006
Absent 28 (10.3%) 243 (89.7%) 271 (100%)
Obstructive jaundice Present 9 (33.3%) 18 (66.7%) 27 (100%) 12.214 <0.001
Absent 29 (10.2%) 254 (89.8%) 283 (100%)
Pancreatitis Present 4 (57.1%) 3 (42.8%) 7 (100%) 13.415 <0.001
Absent 34 (11.2%) 269 (88.8%) 303 (100%)
Low serum albumin Present 7 (43.8%) 9 (56.3%) 16 (100%) 15.556 <0.001
Absent 31 (10.5%) 263 (89.5%) 294 (100%)
Imaging
Presence of calculi Present 36 (12.2%) 258 (87.8%) 294 (100%) 0.001 0.976
Absent 2 (12.5%) 14 (87.5%) 16 (100%)
Pericholecystic fluid/fat stranding Present 11 (25.6%) 32 (74.4%) 43 (100%) 8.240 0.004
Absent 27 (10.1%) 240 (89.9%) 267 (100%)
Distended GB Present 23 (15.9%) 122 (84.1%) 145 (100%) 3.290 0.071
Absent 15 (9.1%) 150 (90.9%) 165 (100%)
(Contd...)
World Journal of Laparoscopic Surgery, Volume 15 Issue 1 (January–April 2022) 3