2004
DOI: 10.1007/s00595-003-2714-0
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Preoperative Grading System for Predicting Operative Conditions in Laparoscopic Cholecystectomy

Abstract: Our preoperative grading system using the predictive score is a valid method of predicting the actual operative conditions of ALLC. An adequately skilled operator should be chosen according to the difficulty of each case, to ensure the best possible operative outcome.

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Cited by 14 publications
(11 citation statements)
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“…Conversion to open procedure is dependent on the patient's factors as well as experience of the surgeon and team. So the proper assignment of predicted difficult case to an experienced surgeon and team will definitely results in lesser conversion and higher benefits to such patients which has also been shown by Takegami et al 5 A predicted easy case can be operated as day care surgical case and can be offered a newer technique such as single incision laparoscopic surgery (SILS) and natural orifice transluminal endoscopic surgery (NOTES). 4 Patients may be counseled preoperatively about the possible difficult operation, prolonged hospital stay and possibility of conversion beforehand so that they are mentally prepared for that.…”
Section: Discussionmentioning
confidence: 86%
“…Conversion to open procedure is dependent on the patient's factors as well as experience of the surgeon and team. So the proper assignment of predicted difficult case to an experienced surgeon and team will definitely results in lesser conversion and higher benefits to such patients which has also been shown by Takegami et al 5 A predicted easy case can be operated as day care surgical case and can be offered a newer technique such as single incision laparoscopic surgery (SILS) and natural orifice transluminal endoscopic surgery (NOTES). 4 Patients may be counseled preoperatively about the possible difficult operation, prolonged hospital stay and possibility of conversion beforehand so that they are mentally prepared for that.…”
Section: Discussionmentioning
confidence: 86%
“…They reported that dense adhesions in the region of the triangle of Calot was the leading cause for conversion to open surgery in 16.7% of their cases. Takegami et al20 reported a conversion rate of 13% in LC performed by general surgeons and 2% in LC performed by specialized surgeons, suggesting that the skill of the operator has a large influence on the conversion rate. Meshikhes et al21 and Al-Saigh et al22 from Saudi Arabia reported a conversion rate of 11% in their cases, the most common cause of conversion being difficult anatomy.…”
Section: Discussionmentioning
confidence: 99%
“…Takegami et al, reported a conversion rate of 13% in LC performed by general surgeons and 2% in LC performed by specialized surgeons, suggesting that the skill of the operator has a large influence on the conversion rate. 7 A conversion rate of 11% in their cases, the most common cause of conversion being difficult anatomy. 8,9 Conversion from LC to open cholecystectomy was required in 5% in another study by Wagih et al 10 Several complications related to anesthesia, peritoneal access, pneumoperitoneum, surgical exploration, and thermocoagulation have been reported during LC, and these complications and several other factors can necessitate the conversion from LC to open cholecystectomy (OC).…”
Section: Introductionmentioning
confidence: 99%