Pre-operative evaluation reduces complications in gallstone surgeries

In a retrospective analysis of 5,450 cholecystectomies, findings indicated that thorough pre-operative evaluation significantly minimizes perioperative complications and unexpected histopathological outcomes. The laparoscopic to open conversion rate was low at 1.2%, primarily due to unclear anatomy, while bile duct injury occurred in only 0.11% of cases. The incidence of incidental carcinoma gall bladder was 0.3%, with a follow-up survival rate of 68.75%. These results underscore the importance of a structured approach to gallstone disease.