| Autor: |
Mishra, Santosh, Poudel, Rajesh, Thapa, Sagun, Pokhrel, Nabin, Kshetri, Gaurav, Shrestha, Sanjay |
| Předmět: |
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| Zdroj: |
Journal of Universal College of Medical Sciences; Sep-Dec2023, Vol. 11 Issue 3, p1-6, 5p |
| Abstrakt: |
INTRODUCTION This was an observational cross-sectional study that included sixty nine patients who underwent elective laparoscopic cholecystectomy in UCMS. Preoperative predictive parameters such as age, gender, BMI, previous abdominal surgery, gallbladder condition, and ultrasound findings were assessed. A scoring system developed by Randhawa and Pujahari was used to predict difficulty in laparoscopic cholecystectomy, and intraoperative criteria were used to categorize cases as easy or difficult. MATERIAL AND METHODS History of acute cholecystitis (p=0.026), previous abdominal scar (p=0.024), thick gallbladder wall (p=0.012), impacted stone (p=0.057), pericholecystic fluid collection (p<0.001) and increased BMI were considered as the significant factors that predict difficult laparoscopic cholecystectomy. Sensitivity and specificity for easy - difficult cut off of the scoring method were 75.6% and 67.16%, respectively, with the area under the ROC curve being 0.524. RESULTS The difficult laparoscopic cholecystectomy and conversion to open surgery can be predicted preoperatively based on preoperative scoring system. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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