PRE-OPERATIVE PREDICTORS OF DIFFICULT LAPAROSCOPIC CHOLECYSTECTOMY - A COMPARATIVE STUDY BETWEEN TWO SCORING SYSTEMS.

Dr Sachin B R , Dr Sudhir M , Dr Nikita S Galani , Dr Lohit Shetty Raju

Difficult cholecystectomy, Laparoscopic Cholecystectomy, New Scoring system, RSCLO, Conversion.

Title: "Factors Influencing Laparoscopic Cholecystectomy Difficulty: Validation of Predictive Scoring Systems" This prospective observational study, conducted at the Kempegowda Institute of Medical Sciences and Research Centre from March 2021 to August 2022, aims to compare the determinants influencing the intricacies of laparoscopic cholecystectomy. With a primary focus on validating two predictive scoring systems, namely the Risk Score for Conversion from Laparoscopic to Open Cholecystectomy (RSCLO) and the New Scoring System (NSS), our investigation contributes to the critical domain of preoperative risk assessment. In a cohort comprising 100 patients diagnosed with cholelithiasis, a comprehensive preoperative scoring system based on presenting symptoms was meticulously correlated with intraoperative findings and subsequent postoperative outcomes.The univariate logistic regression analysis brought to light several statistically significant factors contributing to the complexity of laparoscopic cholecystectomy. These included BMI surpassing 27.5 kg/m², the presence of a palpable gallbladder, a history of previous hospitalization for acute cholecystitis, sonological wall thickness exceeding 4mm, and the manifestation of pericholecystic edema.Of notable significance were the comparative performances of the RSCLO and NSS systems. The RSCLO system exhibited superior accuracy in predicting cases characterized by a lower risk of conversion, suggestive of a less challenging cholecystectomy. Conversely, the NSS displayed a remarkable sensitivity of 100% in identifying cases categorized as difficult and very difficult cholecystectomies.These findings not only underscore the clinical relevance of validated scoring systems for laparoscopic cholecystectomy but also offer practical insights into preoperative risk assessment, aiding surgeons in strategic surgical planning and providing enhanced patient counseling for optimal outcomes

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"PRE-OPERATIVE PREDICTORS OF DIFFICULT LAPAROSCOPIC CHOLECYSTECTOMY - A COMPARATIVE STUDY BETWEEN TWO SCORING SYSTEMS.", IJSDR - International Journal of Scientific Development and Research (www.IJSDR.org), ISSN:2455-2631, Vol.9, Issue 5, page no.777 - 783, May-2024, Available :https://ijsdr.org/papers/IJSDR2405106.pdf

Volume 9 Issue 5, May-2024

Pages : 777 - 783

Paper Reg. ID: IJSDR_211388

Published Paper Id: IJSDR2405106

Downloads: 000347437

Research Area: Medical Science

Country: Bengaluru, Karnataka, India

Published Paper PDF: https://ijsdr.org/papers/IJSDR2405106

Published Paper URL: https://ijsdr.org/viewpaperforall?paper=IJSDR2405106

ISSN: 2455-2631 | IMPACT FACTOR: 9.15 Calculated By Google Scholar | ESTD YEAR: 2016

An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 9.15 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator

Publisher: IJSDR(IJ Publication) Janvi Wave

This work is licensed under a Creative Commons Attribution 4.0 International License and The Open Definition