laparoscopic conversion
Intraoperative change from minimally invasive laparoscopic approach to open surgical technique.
Full Definition
Laparoscopic conversion refers to the planned or unplanned transition from a minimally invasive laparoscopic procedure to an open surgical approach during the same operation. In acute care surgery, conversion may be necessary due to technical difficulties, anatomical distortion, excessive bleeding, or inability to safely complete the procedure laparoscopically. Common indications include dense adhesions, unclear anatomy, equipment failure, or hemodynamic instability. Conversion is not considered a complication but rather an appropriate surgical decision to ensure patient safety. Documentation should clearly state the indication for conversion and the point at which the decision was made during the procedure.
Usage
Usage note: Always specify the reason for conversion. Avoid implying that conversion represents surgical failure.
In Context
- "Laparoscopic conversion was necessary due to dense adhesions obscuring the critical view of safety." — Operative report
- "The conversion rate for emergency laparoscopic cholecystectomy is higher than elective cases." — Quality review documentation