The article confirmed several predictive factors for conversion. However, other important factors were not mentioned including upper abdominal adhesions, obesity, liver cirrhosis, cholecysto-enteric fistula, large liver and gallbladder, abnormal anatomy due to Mirizzi syndrome, choledochal cyst, and cholangiocarcinoma. The significance of these parameters was confirmed in the literature [
4]. Awareness of these by the surgical community that performs LC is therefore crucial to the reduction of the conversion rate to a minimum.