Factors Leading to Difficult Laparoscopic Cholecystectomy
Author Information
Author(s): Muacevic Alexander, Adler John R, Topno Noor, Khongwar Donkupar, Sharma Girish, Wankhar Baphiralyne, Baruah Arup, Tongper Dathiadiam, Ghosh Sandeep, Naku Narang, Khonglah Yookarin, Hajong Ranendra, Boruah Polina
Primary Institution: North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, India
Hypothesis
What preoperative and intraoperative factors can predict difficult laparoscopic cholecystectomy?
Conclusion
Identifying preoperative factors can help allocate cases to experienced surgeons, improving operating room efficiency and reducing complications.
Supporting Evidence
- 41 out of 100 laparoscopic cholecystectomies were classified as difficult.
- Male gender and BMI greater than 30 kg/m² were significant predictors of difficult laparoscopic cholecystectomy.
- Multiple episodes of cholecystitis were significantly associated with difficult laparoscopic cholecystectomy.
- Ultrasonographic factors like GB wall thickness and stone size were significant predictors of difficulty.
- Difficult dissection and adhesions were common intraoperative challenges leading to conversion to open surgery.
Takeaway
This study looked at what makes gallbladder surgery hard. By knowing these things, doctors can be better prepared and help patients more safely.
Methodology
This was a prospective study analyzing 100 patients undergoing elective laparoscopic cholecystectomy, focusing on preoperative and intraoperative factors.
Potential Biases
The operating surgeon was blinded to preoperative patient details, which may reduce bias.
Limitations
The study had a small sample size and was conducted at a single center, which may limit the generalizability of the findings.
Participant Demographics
The study included 91 female and 9 male patients, with ages ranging from 19 to 65 years.
Statistical Information
P-Value
0.0001
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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