Coffin SJ, et al. - This study quantifies conversion rates in the population, a rural academic medical center, and identify any significant risks for conversion. The outcomes, consistent with previous literature, display a reduced conversion rate among surgeons with minimally invasive surgical training. The data, albeit not significant on multivariate analysis, may offer insight into a potential alterable preoperative risk factor for conversion and warrants further research. Further knowledge about the effect minimally invasive surgical training has on conversion may provide a feasible preoperative approach to reducing conversion to open cholecystectomy, thereby reducing costs and overall patient morbidity.

Methods

• Researchers carried out a single-center retrospective review of 2810 cholecystectomies performed over a seven-year period (2009–2016).

Results

• This research enrolled 837 (29.8%) males and 1973 (70.2%) females with a mean age of 49.2 years.
• In this study, 42 percent of cases were done by surgeons with MIST.
• A sum of one hundred thirty nine (4.95%) cases were converted to OC.
• Univariate predictors of conversion to OC included male gender, age ≥65, urgent and emergent admissions, and MIST of the surgeon.
• They exhibited evidence that in multivariate modeling, which included significant univariate predictors of conversion, independent predictors of conversion to OC included urgent or emergent admission, male gender, and age ≥65.
• They observed that MIST status was no longer a significant predictor.