Using Clinicoradiological Assessment to Identify Patients Likely to Have A Difficult Laparoscopic Cholecystectomy
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Abstract
Background: Open cholecystectomy has been superseded with laparoscopic surgery. Laparoscopic cholecystectomy preserves immune function and reduces inflammation better than open surgery.
Objective: To evaluate how clinical and radiological variables predict difficult laparoscopic cholecystectomy and how preoperative factors affect intraoperative acute cholecystitis severity.
Materials and Methods: Department of Surgery conducted this prospective research from December 2017 through June 2019. The study comprised 60 tertiary health centre surgical ward patients with cholelithiasis/cholecystitis who were clinically examined and verified by USG. Patients under 18 with CBD calculus, elevated ALP, dilated CBD, needing CBD exploration, obstructive jaundice, and unwilling for laparoscopic cholecystectomy were eliminated. The study received ethical approval from the institute and patient consent. SPSS 22 gathered and analysed the data.
Results: Females dominated (68.33%) while 31–40-year-old had the most instances (38.33%). Every patient had chronic pain. Laparoscopic to open cholecystectomy conversion was 10%. BMI, impacted stone, prior surgery, and acute cholecystitis significantly affected pre-operative score.
Conclusion: Preoperative grading predicts laparoscopic cholecystectomy outcomes statistically and clinically.
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References
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