A New Preoperative Grading System for Predicting the Operative Conditions for Abdominal Wall-Lifting Laparoscopic Cholecystectomy

Takegami, Kenji; Sata, Naohiro; Kawaguchi, Yoneei; Kubota, Yoshiro

doi:10.1007/s005950200005

Cited by 5 publications

(8 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Further, both of the obese patients in our study had difficult surgery. Statistically significant association of obesity with a higher chance of conversion to open method has also been observed in several other series 2,3,15 .…”

Section: Discussionsupporting

confidence: 55%

Pre-Operative Predictors of Difficult Laparoscopic Cholecystectomy; Comparisons of Two Scoring Systems. A Single Center Prospective Study”

Vyas¹,

Bhandari²,

Saurabh³

et al. 2013

jemds

View full text Add to dashboard Cite

INTRODUCTION:Laparoscopic Cholecystectomy has evolved as the standard of care for the treatment of Gall Stone disease over the past decade. Several patient and procedure related factors have been implicated in setting of failure to complete the procedure by minimal invasive method and various scores have been developed to precisely predict a Difficult Laparoscopic Cholecystectomy. AIMS: The present study was conducted to ascertain various patient related preoperative risk factors for conversion of laparoscopic Cholecystectomy to open method and to validate the Risk Score for conversion. SETTINGS & DESIGN: A total of 100 patients with diagnosis of Gall Stone Disease admitted to our surgical Unit between October 2011 and April 2013 were assessed for various pre-determined risk factors and were accordingly categorized into three levels of anticipated difficulty according to RSCLO and our new scoring system. The patients were then subjected to Laparoscopic Cholecystectomy by the same surgical team and the procedure was then graded as difficult or not according to the pre-defined criteria. The findings were analysed by appropriate statistical analysis. RESULTS: Presence of factors like Male sex, history of attacks of acute cholecystitis, increased GB wall thickness, presence of supra-umbilical abdominal scar, obesity and a contracted GB were associated with a significantly higher rate of conversion to open method. RSCLO was found to correlate better with the outcome in this setting than our New Scoring System. CONCLUSION: Several patient related factors may be helpful in predicting a Difficult Laparoscopic Cholecystectomy pre-operatively. RSCLO Scoring system may be useful as a pre-operative tool to predict intra-operative difficulty during LC. KEY WORDS: Difficult laparoscopic Cholecystectomy, RSCLO, pre-operative factors. INTRODUCTION:Laparoscopic Cholecystectomy has evolved as the Gold Standard procedure for treatment of Gall Stone Disease. In approximately 2-15% of the patients failure to achieve the desirous aim mandates the conversion of the procedure to Open Method 1. Various patient and procedural related factors have been implicated for this conversion. Extensive studies and various protocols have also been suggested to identify 'Difficult Laparoscopic Cholecystectomy' preoperatively. Previous attacks of acute cholecystitis, GB wall thickness, inability to delineate the anatomy and previous abdominal surgery are some of the factors that have been identified as potential risk factors for the conversion. The present study was conducted to ascertain patient related pre-operative risk factors for conversion of laparoscopic Cholecystectomy to open method and to validate the Risk Score for conversion.

show abstract

Section: Discussionsupporting

confidence: 55%

Pre-Operative Predictors of Difficult Laparoscopic Cholecystectomy; Comparisons of Two Scoring Systems. A Single Center Prospective Study”

Vyas¹,

Bhandari²,

Saurabh³

et al. 2013

jemds

View full text Add to dashboard Cite

show abstract

“…None of the prediction models developed previously 4,12,[15][16][17][18][19][20][21][22] using patient risk factors to preoperatively predict the probability of CONV have been widely incorporated into surgical practice. 16 This is due to a variety of reasons including important limitations in the methodological quality, impracticality and heterogeneity of the prediction models.…”

mentioning

confidence: 99%

Predicting conversion from laparoscopic to open cholecystectomy presented as a probability nomogram based on preoperative patient risk factors

Goonawardena

Gunnarsson

Costa

2015

The American Journal of Surgery

View full text Add to dashboard Cite

“…Patients with a higher predictive score had a longer operation time, greater blood loss, and a higher conversion rate. 1 In the present study, the predictive score was strongly correlated with the postoperative score, prospectively. Patients with a higher predictive score had a longer operation time, greater blood loss, and a higher postoperative score than those with a lower predictive score.…”

Section: Discussionmentioning

confidence: 83%

“…In our previous study, we retrospectively analyzed 145 patients operated on between January 1997 and December 1999 to evaluate the preoperative grading system. 1 In the present study, 97 patients operated on between January 2000 and March 2002 were divided into two groups and prospectively examined. The first group consisted of 34 patients operated on between January 2000 and December 2000 when the operators were randomly chosen.…”

Section: Patients and Operative Techniquesmentioning

confidence: 99%

See 1 more Smart Citation

Preoperative Grading System for Predicting Operative Conditions in Laparoscopic Cholecystectomy

et al. 2004

Self Cite

View full text Add to dashboard Cite

show abstract

A New Preoperative Grading System for Predicting the Operative Conditions for Abdominal Wall-Lifting Laparoscopic Cholecystectomy

Abstract: Our preoperative grading system using the predictive score was found to be a reliable and feasible method for predicting the actual operative conditions for ALLC.

Cited by 5 publications

References 9 publications

Pre-Operative Predictors of Difficult Laparoscopic Cholecystectomy; Comparisons of Two Scoring Systems. A Single Center Prospective Study”

Pre-Operative Predictors of Difficult Laparoscopic Cholecystectomy; Comparisons of Two Scoring Systems. A Single Center Prospective Study”

Predicting conversion from laparoscopic to open cholecystectomy presented as a probability nomogram based on preoperative patient risk factors

Preoperative Grading System for Predicting Operative Conditions in Laparoscopic Cholecystectomy

Contact Info

Product

Resources

About