Pre-operative assessment of difficult laparoscopic cholecystectomy: a scoring method

Background: Laparoscopic cholecystectomy (LC) has become the gold standard procedure for management of symptomatic gallstone disease. At times, it is difficult and takes longer time or to be converted an open procedure. The study was undertaken determine factors which predict LC. aim evaluate a pre-operative scoring method LC.Methods: This prospective conducted in department general surgery, MVJ Medical College, Bangalore from December 2020 August 2021. There were 100 cases operated by experienced surgeons. Scoring included parameters history, clinical sonological findings with maximum score up 15. Score 5 predicted easy, 6-10 11-15 very difficult.Results: Pre-operative system correlated 85.7% 83.3% 100% cases. like previous history hospitalization (p=0.004), clinically palpable gallbladder (GB) (p=0.009), impacted GB stone (p=0.001), pericholecystic collection (p=0.04), abdominal scar due surgery (p=0.009) found statistically significant predicting LC.Conclusions: prediction risk assess operative difficulty important point planning high-risk patients may informed accordingly.