Pre-operative evaluation with parkland grading system in assessing difficult laparoscopic cholecystectomy and expectant operative and post-operative complications

Autor:	Abdul Razack Gs, Avinash K, Archana Cs, B D Manjunath, H R Harindranath, Mohammed Arafath Ali, T Kavya
Rok vydání:	2019
Předmět:	medicine.medical_specialty Intra operative medicine.anatomical_structure business.industry General surgery Gallbladder Medicine Post operative Prospective cohort study business Pre-operative evaluation Hospital stay Laparoscopic cholecystectomy
Zdroj:	International Journal of Surgery Science. 3:20-25
ISSN:	2616-3470 2616-3462
Popis:	Aims: Pre-operative factors with Parkland grading system in assessing difficult Laparoscopic Cholecystectomy and expectant operative and post-operative complications. Materials and Methods: A prospective study done in hospitals attached to BMC&RI, Department of General Surgery, Bengaluru from Dec 2017- Dec 2018. A total of 110 cases were evaluated & underwent laparoscopic procedure. Gallbladder status was assessed intraoperatively with the application of Parkland grading system. Results: Out of 110 cases-majority were Grade1 (30%), shortest (64.09 mins) & longest surgery duration (152.85 mins) for Grade 1&5 respectively & more complications for Grade 4&5. The length of hospital stay was higher (12.85 days for Grade 5). Conclusion: Parkland grading system is a highly reliable, simple, intra operative based scale that can accurately predict difficult Laparoscopic Cholecystectomy and its outcomes. As the grade increases severity of the disease and difficulty in surgery and its outcomes.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::76ce0c94092b206ba2c636ee991aa9fe https://doi.org/10.33545/surgery.2019.v3.i3a.141 Zobrazit plný text záznamu