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Year : 2020  |  Volume : 26  |  Issue : 2  |  Page : 208-211

Pre-operative scoring method for assessing the easiness of laparoscopic cholecystectomy

Department of General Surgery, Government Medical College, Kozhikode, Kerala, India

Correspondence Address:
Dr. Thejas Lal
Siromani Bhavan, Arattuthara P. O., Mananthavady, Wayanad - 670 645, Kerala
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ksj.ksj_24_20

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Introduction: Laparoscopic cholecystectomy is now the gold standard treatment modality for cholelithiasis. Many pre-operative factors affect the proceeding of laparoscopic cholecystectomy. The overall mortality and morbidity associated with the procedure can be measured through such pre-operative parameters. This study was done to propose a pre-operative scoring method for assessing the easiness of laparoscopic cholecystectomy. Materials and Methods: A cohort study was conducted for patients admitted to a government hospital to undergo laparoscopic cholecystectomy. They were interviewed with a series of question and data were collected from the operation noted of the same patients. These were compared to the per-operative findings and easiness of surgery. Results: Body mass index, number of previous attacks more than 2, thickened gall bladder and total white blood cell count > 10,000 were noted as significant predictors for assessing the easiness in doing laparoscopic cholecystectomy. Conclusions: It is possible to predict the easiness of surgery in laparoscopic cholecystectomy using a pre-operative scoring system.

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