Gallstones are a major cause of morbidity worldwide. Gallstones are biliary tract concretions that commonly originate in the gallbladder. Gallstone disease is quite common in the general population, frequently causes hospital admissions, and is associated with substantial expenses due to morbidity and treatment
Laparoscopic cholecystectomy (LC) can occasionally be challenging. Even with bile or stone spilling, it takes longer, and occasionally conversion to an open cholecystectomy is necessary. Preoperatively, it is quite difficult to predict if it will be simple or complex. Once more, it is difficult to anticipate the level of difficulty. There isn't a rating system in place right now to anticipate complexity and level of difficulty. We have evaluated one such approach for anticipating the level of difficulty in LC.
AIM:
To determine the role of scoring system in predicting the difficulty of laparoscopic surgery in laparoscopic cholecystectomy.
PATIENTS AND METHODS:
The study will include sixty patients who will be admitted to the unit of GIT surgery, faculty of medicine, Alexandria Main University Hospital with symptomatic cholelithiasis and scheduled for elective laparoscopic cholecystectomy.
A preoperative score will be given to every patient on the basis of history, clinical examination and sonographic findings (Table 1). Score up to 5 is defined as easy, 6-10 as difficult and 11-15 as very difficult