PREDICTION OF SURGICAL OUTCOMES OF LAPAROSCOPIC CHOLECYSTECTOMY USING INTRAOPERATIVE GRADING SCALE IN PATIENTS UNDERGOING LAPAROSCOPIC CHOLECYSTECTOMY

Abstract

The gold standard for gall bladder disease is Laparoscopic cholecystectomy (LC).2 Conversion of LC to open is a signicant component in terms of conducting a safe surgery, an improved knowledge of factors contributing to conversion and complications post-surgery would be useful and helpful.1 In this study, a validated scoring system based on intraoperative ndings during LC has been used which allows scoring of these ndings and standardizes the degree and severity of gall bladder related disease, also predicting the level of difculty in performing the surgery. G10 is a simple grading scale based on intraoperative parameters, predicts likely difculty in performing the surgery, various surgical outcomes such as conversion to open cholecystectomy, intraoperative complications, requirement and duration of a drain, duration of hospital stay, and postoperative complications. G10 score helps the surgeon and team to be better prepared with possible surgical outcomes, need for conversion to laparoscopic cholecystectomy and can be used as a tool in counselling the patient. G10 score of 5 was considered as the optimum point to predict conversion of LC to open. Intraoperative decision of conversion from laparoscopic to open cholecystectomy is neither a complication nor should it be considered as a failure, but rather to be considered as a decision taken to prevent possible intraoperative or postoperative complication and to ensure patient safety which can be achieved using G10 intraoperative scoring scale.