Risk Factors for Surgical Site Infection after Conversion from Laparoscopic to Open Cholecystectomy

Objective To investigate the incidence of surgical site infection (SSI) following conver sion from laparoscopic to open cholecystectomy and to analyze the related risk factors. Methods The clinical data of 179 patients who had experienced conversion from laparoscopic to open cholecystectomy in Peking Union Medical College Hospital from January 2014 to August 2019 were analyzed retrospectively. Univariate and multivariate logistic- regression analyses were performed to evaluate the associations between clinical variables and SSI. Results The in cidence of SSI was 19.0% (34/179) after conversion from laparoscopic to open cholecystectomy. The multivari- able analysis demonstrated that preoperative endoscopic retrograde cholangiopancreatography (ERCP) (OR = 4. 208 , 95% CI: 1. 590 - 11. 135 , P =0. 004 ) was the only independent risk factor of SSI. Conclusions The incidence of SSI after conversion from laparoscopic to open cholecystectomy increased remarkably, especially in those who had preoperative ERCP. Preventive interventions should be taken to reduce the incidence of SSI.