WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Review Journal for Medical Science and Pharma Professionals

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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  • Google Scholar
  • Index Copernicus
  • SOCOLAR, China
  • Research Bible, Fuchu, Tokyo. JAPAN
  • Cosmos Impact Factor
  • Scientific Indexing Services (SIS)
  • UDLedge Science Citation Index
  • International Impact Factor Services
  • International Society for Research Activity (ISRA) Journal Impact Factor (JIF)
  • Scientific Journal Impact Factor (SJIF)
  • IFSIJ Measure of Journal Quality
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  • International Impact Factor Services (IIFS)
  • Web of Science Group (Under Process)
  • Directory of Research Journals Indexing
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Abstract

OPERATIVE DIFFICULTIES IN LAPAROSCOPIC CHOLECYSTECTOMY–SCORING SYSTEM

Dr. Ali Ahmed Akbar*, Dr. Hamid Dawood Almussawi, Dr. Rafid H. Alzaidy

ABSTRACT

Background: The laparoscopic cholecystectomy is the golden standard for many surgeons nowadays. Many intra-operative difficulties occurred during laparoscopic cholecystectomy that urging surgeons to develop scoring system predicting these difficulties. Aim of study: To establish the best scoring system based on intra operative parameters to predict the difficulty of laparoscopic cholecystectomy. Patients and methods: This study is a prospective follow up study carried out in Surgical Ward of Baghdad Teaching Hospital during the period from 1st of October, 2016 to 31st of September, 2017 on convenient sample of 80 patients with chronic symptomatic cholelithiasis. The intra-operative characteristics were recorded by the researcher during the procedure of laparoscopic cholecystectomy. Results: The difficulty criteria of laparoscopic cholecystectomy in studied patients were based on operation time, bile or stone spillage and conversion to open surgery. Significant risk factors for difficulty were obesity, pre-operate surgery, complete gall bladder adhesions, distended gall bladder, inability to grasp, impacted stones, peri-colic collections and prolonged time of Calots' triangle dissection. Conclusions: The intra-operative difficulty scoring of Laparoscopic cholecystectomy is cornerstone in laparoscopy technique.

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