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Table 4 Risk factors for conversion to open cholecystectomy in multivariate

From: Intra-operative gallbladder scoring predicts conversion of laparoscopic to open cholecystectomy: a WSES prospective collaborative study

Risk factor

Level

Outcome

Multivariate odds ratios (95% CIs)

p value

No conversion to open cholecystectomy no. (%)

Conversion to open cholecystectomy no. (%)

Gallbladder (GB) appearance

Adhesions covering < 50% of GB

264 (92.3%)

22 (7.7%)

  

Adhesions > 50% but GB visible

111 (84.7%)

20 (15.3%)

1.41 (0.71, 2.82)

0.3264

Completely buried GB

58 (66.7%)

29 (33.3%)

2.50 (1.17, 5.33)

0.018*

Adhesions from previous surgery limiting access

No

397 (88%)

54 (12%)

2.05 (0.99, 4.25)

0.055

Yes

36 (67.9%)

17 (32.1%)

Distended or shrivelled GB

No

254 (90.4%)

27 (9.6%)

1.52 (0.86, 2.69)

0.1508

Yes

179 (80.3%)

44 (19.7%)

Inability to grasp GB

No

311 (89.4%)

37 (10.6%)

1.30 (0.72, 2.33)

0.3796

Yes

122 (78.2%)

34 (21.8%)

Stone > 1 cm impacted in Hartmann’s pouch

No

322 (89.7%)

37 (10.3%)

1.96 (1.09, 3.55)

0.0257*

Yes

111 (76.6%)

34 (23.4%)

Bile or pus outside GB

No

391 (89.3%)

47 (10.7%)

2.75 (1.37, 5.53)

0.0046**

Yes

42 (63.6%)

24 (36.4%)

Fistula

No

430 (86.7%)

66 (13.3%)

9.14 (1.85, 45.16)

0.0066**

Yes

3 (37.5%)

5 (62.5%)

  1. * - statistically significant at the 0.05 level
  2. ** - statistically significant at the 0.01 level