Difficult laparoscopic cholecystectomies. Is conversion a sensible option?
A low threshold for conversion to open cholecystectomy can save the life of patients as continued dissection in difficult situation can lead to life-threatening complications.
These findings support the necessity of B3 lesion sub-classification into B3a and B3b and of PL into PLa and PLb when considering epithelial atypia. The determination of atypia status represents a relevant factor in risk-stratification for clinical management of B3 lesions. Should future studies using the sub-classification of PL confirm these results, observation may be a safe option for the clinical management of patients with asymptomatic PLa lesions.