Compendious scoring approach for prediction of difficult laparoscopic cholecystectmy: prospective study.

Background: The use of quantifiable and reproducible measurement tool for pre-operative prediction of difficult laparoscopic cholecystectmy by compendious scoring method is a key for the successful pre-operative assessment and documentation of therapeutic response. Although in clinical trials have not been demonstrated for application in patients suff ering from gallstone disease. As justification we carried out a study to vindicate a pre-operative prediction of difficult laparoscopic cholecystectmy scoring tool. Methods: Th is prospective study conducted in tertiary care single center General surgery department Ziauddin University Hospital from April 2016 to August 2016. Our trial comprise of one hundred and thirty six patients. Patient's evaluation and operated by skilled surgeons. Results: As an outcome that statistically significant features are history of previous episodes of cholecystitis/pancreatitis, gallbladder status and gallbladder wall thickness for prediction of difficult cases. According to this pre-operative compendious scoring method we had p <0.001 for prediction of difficult laparoscopic cholecystectomy. Conversion fi gure was 0.7%. Conclusion: We put forward that with the use of this compendious scoring approach for pre-operative prediction may encourage to label as probably difficult and very difficult cases. A patient's situation expose to danger and possibility of conversion may be counseled. Th us the surgeon may have a possibility to bring about planning appropriately and enlightened for further complications. [ABSTRACT FROM AUTHOR]