Journal of Surgery

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Grading System Based on Intra Operative Findings at Laparoscopic Cholecystectomy

Received: 15 August 2018    Accepted: 01 September 2018    Published: 19 September 2018
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Abstract

Laparoscopic Cholecystectomy has become the standard of care for Gall Stone Disease. There are numerous studies and scoring system which considers the pre-operative factors for conversion to open cholecystectomy but there was no scoring system which considers intra operative findings. The objective of this study was to outline the scoring system based on intra operative findings to predict the conversion of laparoscopic cholecystectomy to open cholecystectomy. This prospective study was carried out on 158 patients who underwent cholecystectomy. Surgery in all patients were started with laparoscopic cholecystectomy and based on multiple factors the surgery was completed as open or laparoscopic cholecystectomy. Based on the intra operative findings the patients were divided into easy, moderate, very difficult and extreme. The patients with severe and extreme scoring had highest number of conversions to open cholecystectomy and those patients who had total score of less than 5 had negligible conversion to open cholecystectomy. This paper reports the scoring system which considers the intra operative findings during laparoscopic cholecystectomy. Based on this scoring system it can be predicted weather conversion to open cholecystectomy is required or not.

DOI 10.11648/j.js.20180605.13
Published in Journal of Surgery (Volume 6, Issue 5, October 2018)
Page(s) 123-128
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Laparoscopic Cholecystectomy, Open Cholecystectomy, Grading System, Intra Operative Findings, Pre-Operative Findings

References
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[19] Vivek MA, Augustine AJ, Rao R: A comprehensive predictive scoring method for difficult laparoscopic cholecystectomy. Journal of minimal access surgery. 2014; 10:62-7.
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Author Information
  • Department of Surgery, Military Hospital, Dehradun, India

  • Department of Surgery, Military Hospital, Dehradun, India

  • Department of Anesthesia, Military Hospital, Dehradun, India

  • Department of Radiotherapy, Govt Doon Medical College, Dehradun, India

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  • APA Style

    Brajesh Kumar, Saurov Ghose, Vipul Krishan Sharma, Manashi Ghosh. (2018). Grading System Based on Intra Operative Findings at Laparoscopic Cholecystectomy. Journal of Surgery, 6(5), 123-128. https://doi.org/10.11648/j.js.20180605.13

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    ACS Style

    Brajesh Kumar; Saurov Ghose; Vipul Krishan Sharma; Manashi Ghosh. Grading System Based on Intra Operative Findings at Laparoscopic Cholecystectomy. J. Surg. 2018, 6(5), 123-128. doi: 10.11648/j.js.20180605.13

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    AMA Style

    Brajesh Kumar, Saurov Ghose, Vipul Krishan Sharma, Manashi Ghosh. Grading System Based on Intra Operative Findings at Laparoscopic Cholecystectomy. J Surg. 2018;6(5):123-128. doi: 10.11648/j.js.20180605.13

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  • @article{10.11648/j.js.20180605.13,
      author = {Brajesh Kumar and Saurov Ghose and Vipul Krishan Sharma and Manashi Ghosh},
      title = {Grading System Based on Intra Operative Findings at Laparoscopic Cholecystectomy},
      journal = {Journal of Surgery},
      volume = {6},
      number = {5},
      pages = {123-128},
      doi = {10.11648/j.js.20180605.13},
      url = {https://doi.org/10.11648/j.js.20180605.13},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.js.20180605.13},
      abstract = {Laparoscopic Cholecystectomy has become the standard of care for Gall Stone Disease. There are numerous studies and scoring system which considers the pre-operative factors for conversion to open cholecystectomy but there was no scoring system which considers intra operative findings. The objective of this study was to outline the scoring system based on intra operative findings to predict the conversion of laparoscopic cholecystectomy to open cholecystectomy. This prospective study was carried out on 158 patients who underwent cholecystectomy. Surgery in all patients were started with laparoscopic cholecystectomy and based on multiple factors the surgery was completed as open or laparoscopic cholecystectomy. Based on the intra operative findings the patients were divided into easy, moderate, very difficult and extreme. The patients with severe and extreme scoring had highest number of conversions to open cholecystectomy and those patients who had total score of less than 5 had negligible conversion to open cholecystectomy. This paper reports the scoring system which considers the intra operative findings during laparoscopic cholecystectomy. Based on this scoring system it can be predicted weather conversion to open cholecystectomy is required or not.},
     year = {2018}
    }
    

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  • TY  - JOUR
    T1  - Grading System Based on Intra Operative Findings at Laparoscopic Cholecystectomy
    AU  - Brajesh Kumar
    AU  - Saurov Ghose
    AU  - Vipul Krishan Sharma
    AU  - Manashi Ghosh
    Y1  - 2018/09/19
    PY  - 2018
    N1  - https://doi.org/10.11648/j.js.20180605.13
    DO  - 10.11648/j.js.20180605.13
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 123
    EP  - 128
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20180605.13
    AB  - Laparoscopic Cholecystectomy has become the standard of care for Gall Stone Disease. There are numerous studies and scoring system which considers the pre-operative factors for conversion to open cholecystectomy but there was no scoring system which considers intra operative findings. The objective of this study was to outline the scoring system based on intra operative findings to predict the conversion of laparoscopic cholecystectomy to open cholecystectomy. This prospective study was carried out on 158 patients who underwent cholecystectomy. Surgery in all patients were started with laparoscopic cholecystectomy and based on multiple factors the surgery was completed as open or laparoscopic cholecystectomy. Based on the intra operative findings the patients were divided into easy, moderate, very difficult and extreme. The patients with severe and extreme scoring had highest number of conversions to open cholecystectomy and those patients who had total score of less than 5 had negligible conversion to open cholecystectomy. This paper reports the scoring system which considers the intra operative findings during laparoscopic cholecystectomy. Based on this scoring system it can be predicted weather conversion to open cholecystectomy is required or not.
    VL  - 6
    IS  - 5
    ER  - 

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