13713

Pre-operative Prediction of Difficulties in Laparoscopic Cholecystectomy

Article

Last updated: 03 Jan 2025

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Abstract

Background: Laparoscopic cholecystectomy (LC) is one of the most common laparoscopic procedures being performed by general surgeons all over the world. Preoperative prediction of the risk of conversion or difficulty of operation is an important aspect of planning laparoscopic surgery. The purpose of our prospective study was to analyze various risk factors and to predict difficulty and degree of difficulty preoperatively by the use of a scoring system. Objective: The objective of this study is to evaluate a Scoring system to predict difficult laparoscopic Cholecystectomy. Patients and Methods: Laparoscopic cholecystectomy was done in the department of surgery, EL Hussin University Hospital. The parameters considered in the preoperative scoring method were old age, male sex, history of hospitalization, obesity, previous abdominal surgery scar, and palpable gall bladder, wall thickness of gall bladder, pericholecystic collection and impacted stone. A total of 50 patients were included in the study. Results: We found that history of hospitalization; palpable gall bladder, impacted stone and gall bladder wall thickness were statistically significant factors for prediction of difficult laparoscopic cholecystectomy. Conversion rate from laparoscopic to open cholecystectomy was found to be 4%. Conclusion: High risk patient may be informed beforehand regarding the probability of conversion and hence they may have a chance to make arrangements. Surgeons can also be aware about the possible complications that may arise in high risk patients.

DOI

10.21608/ejhm.2018.13713

Keywords

Laparoscopic cholecystectomy, Difficult, prediction

Authors

First Name

Mahmoud Mohamed

Last Name

Ibrahim

MiddleName

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Affiliation

Department Of General Surgery, El Hussin Hospital, Al Azhar University

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City

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Orcid

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First Name

Mohammed Hassan

Last Name

Elshafey

MiddleName

-

Affiliation

Department Of General Surgery, El Hussin Hospital, Al Azhar University

Email

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City

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Orcid

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First Name

Ibrahim Ismail

Last Name

Elshaikh

MiddleName

-

Affiliation

Department Of General Surgery, El Hussin Hospital, Al Azhar University

Email

himaelshaikh@gmail.com

City

-

Orcid

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Volume

73

Article Issue

3

Related Issue

2442

Issue Date

2018-10-01

Receive Date

2018-09-15

Publish Date

2018-10-01

Page Start

6,291

Page End

6,296

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_13713.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=13713

Order

16

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Pre-operative Prediction of Difficulties in Laparoscopic Cholecystectomy

Details

Type

Article

Created At

22 Jan 2023