Grading operative findings at laparoscopic cholecystectomy following the new scoring system in Duhok governorate: Cross sectional study

Annals of Medicine and Surgery
Sanar Majeed JameelAyad Ahmad Mohammed

Abstract

Numerous preoperative scoring systems predict difficult laparoscopic cholecystectomy. Recently, the intraoperative difficulties which are facing surgeons are studied. A new scoring system categorize patients according to many intraoperative findings with a final outcome whether converting to open cholecystectomy or continuing laparoscopically. This prospective study included 120 patients admitted for laparoscopic cholecystectomy for symptomatic gallstones from October 2019 to August 2020. Intraoperative difficulties were evaluated and patients were categorized according to intraoperative scoring for cholecystitis severity and compared depending to the rate of conversion to the open technique. Most patient were middle aged females having multiple gallstones, the mean operation time was 35 min and 7.8% of patients were converted to open cholecystectomy because of intraoperative difficulty.There was a significant correlation between the conversion rate and each of distended and/or contracted gall bladder, inability to grasp the gall bladder with traumatic forceps, stone ≥1 cm impacted in Hartman's pouch, and bile or pus outside gallbladder (P values: 0.002, 0.000, 0.008 and 0.015) respectively, and no significant correlation with ...Continue Reading

References

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Apr 25, 2014·Journal of Minimal Access Surgery·Mittalgodu Anantha Krishna Murthy VivekRanjith Rao
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Apr 13, 2018·Pakistan Journal of Medical Sciences·Nauman AhmedHamad Naeem Rana
Apr 10, 2019·Annals of Medicine and Surgery·Ayad Ahmad Mohammed, Sardar Hassan Arif
Oct 28, 2019·Annals of Medicine and Surgery·Ayad Ahmad Mohammed, Sardar Hassan Arif

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