BACKGROUND: Adhesions are amongst the common reasons for open conversion of laparoscopic cholecystectomy. It is not clear whether this problem is more common with single or multiple @entity5990 . @entity1 AND METHODS: The clinical records of 110 @entity1 with chronic @entity2963 harboring multiple stones in the gallbladder (multiple stone group; MSG) and 45 @entity1 with single stones in the gallbladder (SSG) undergoing laparoscopic cholecystectomy were analyzed for differences in the clinical presentation and outcome with special reference to the incidence of pericholecystic adhesions, size of the stones, and their implications for conversion and complications. RESULTS: @entity1 in the SSG had a significantly higher incidence of dense pericholecystic adhesions in the region of the porta hepatis (P = 0.003). Eleven @entity1 in the SSG (24.4%) were converted to open cholecystectomy. Dense pericholecystic adhesions around the porta hepatis alone contributed to nine of these conversions (81.8%). The size of the stones was significantly greater (P < 0.001) in those @entity1 of the SSG who required conversion to open cholecystectomy. Thirteen @entity1 of the MSG (11.8%) required conversion to open cholecystectomy. Dense pericholecystic adhesions alone contributed to conversion in four cases (30.7%), and the size of the @entity5990 was not significantly different (P = 0.981) in @entity1 with or without conversion to open cholecystectomy. There was no difference in the clinical presentation or complications in the two groups of @entity1 . CONCLUSION: Dense adhesions in the porta hepatis are significantly more common in @entity1 with single stones and are the most common reason for open conversion.

Pericholecystic adhesions in single v multiple XXXX and their consequences for laparoscopic cholecystectomy.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'PATIENTS'] @entity2963 :: ('MESH:D002769', 'Disease') :: ['cholelithiasis'] @entity5990 :: ('MESH:D042882', 'Disease') :: ['gallstones']
@entity5990 :: (MESH:D042882,Disease) :: ['gallstones']
