A scoring system for laparoscopic cholecystectomy to pick up difficult cases

Abstract

Background The conventional surgical treatment for cholelithiasis is laparoscopic cholecystectomy (LC), although some patients still require conversion to open cholecystectomy, primarily due to technical challenges. Risk factor prediction before surgery aids in determining intraoperative challenges. There are several rating systems that can be used to anticipate intraoperative challenges during LC. However, a trustworthy and consistent scoring and prediction system must be developed. Aim and objectives to reduce complications from LC and establish a score system to anticipate difficult LC before surgery. Patient and methods This observational cohort research, which involved 50 patients with calculous cholecystitis, was conducted at the General Surgery Department of the Assiut University Hospitals. One day before to surgery, all patients undergoing elective LC underwent scoring procedures. The intraoperative activities were all documented. Every patient got the usual postoperative treatment and monitoring. Result The preoperative score and LC results were significantly correlated. Conclusion The improvement of patient counselling, surgical planning, and postoperative expectations is made possible by identifying preoperative risk factors that indicate difficult LC. These variables also assist the surgeon in LC difficulty prediction and in maintaining a lower threshold for conversion under tough intraoperative situations.