Surgeons can reduce conversion rates in laparoscopic cholecystectomy by identifying key risk factors.

• Conversion to open cholecystectomy occurred in 6.7% of 4,535 patients studied.
• Key predictors include male sex (OR 1.65), ASA IV classification (OR 4.84), and gallbladder wall thickness (OR 1.20 per mm).

Understanding these predictors aids in patient selection and enhances preoperative counseling to improve surgical outcomes.

• Other significant factors include elevated CRP levels and gastric complications.