Contents
Download PDF
pdf Download XML
289 Views
127 Downloads
Share this article
Research Article | Volume 13 Issue:3 (, 2023) | Pages 430 - 434
Assessment of Preoperative Scoring System in Determination of Intraoperative Difficult Laparoscopic Cholecystectomy
Under a Creative Commons license
Open Access
Received
July 5, 2023
Revised
July 19, 2023
Accepted
July 28, 2023
Published
Aug. 1, 2023
Abstract

Background: Preoperative prediction of risk factors helps in assessing the intraoperative difficulties. Various scoring systems are available to predict the intraoperative difficulties in laparoscopic cholecystectomy. However, there is the need to find a consistent and reliable scoring and predictive system. The present study was undertaken to assess preoperative scoring system in determination of intraoperative difficult laparoscopic cholecystectomy (LC). Material and methods: The prospective observational study performed on 50 patients undergoing elective LC. All the patients were assessed and data regarding the previous history, clinical examinations, and USG findings were recorded. Preoperatively patients were assessed according to Randhawa and Pujahari scoring system. Whereas, intraoperatively, based on duration of surgery.m Results: Preoperative score suggested difficult and very difficult LC in 36% and 2% of patients respectively while intraoperatively 8% of patients had difficult and very difficult LC respectively. The sensitivity, specificity, and predictive value at the preoperative score of 5 was found to be 90%, 72.7%, and 96.7% respectively. Intraoperative difficult LC was found to be significantly associated with the previous history of hospitalization (P=0.021), palpable GB (P=0.003), wall thickness >4mm (P=0.000), pericholecystic collection (P=0.000), contracted GB (P=0.000), post ERCP (P=0.000), deranged LFT (P=0.000), and WBCs >11000 (P=0.000). Conclusion: Study finds the evaluated scoring system, reliable and useful for predicting difficulty in laparoscopic cholecystectomy.

Keywords
Recommended Articles
Research Article
Clinico-Hematological Profile of Anaemia Among Paediatric Patients: A Hospital-Based Study
Published: 23/03/2022
Download PDF
Research Article
A retrospective study of prevalence of deaths due to Poisoning in a tertiary care Hospital
...
Published: 26/08/2024
Download PDF
Research Article
Study of Clinical Profile of Primary Headache Disorders and Its Effect on Quality of Life
...
Published: 15/09/2025
Download PDF
Research Article
Study of Electro Cardiography and Angiographic Profile of Ischemic Heart Disease Patients.
Published: 20/12/2014
Download PDF
Chat on WhatsApp
Copyright © EJCM Publisher. All Rights Reserved.