PREOPERATIVE PREDICTIVE RISK FACTORS OF DIFFICULT LAPAROSCOPIC CHOLECYSTECTOMY

Document Type : Preliminary preprint short reports of original research

Authors

1 Gastrointestinal (GIT) Surgical Unit, Department of Surgery, Faculty of Medicine, University of Alexandria

2 Gastroenterology (GIT) Surgical Unit, Department of Surgery, Faculty of Medicine, University of Alexandria

3 Department of Surgery, Faculty of Medicine, Alexandria University, Egypt

4 Department of surgery , Faculty of Medicine, Alexandria University

Abstract

INTRODUCTION
Laparoscopic cholecystectomy (LC) is a common and minimally invasive surgical procedure for treating gallbladder (GB)-related disease. The difficulty of a laparoscopic cholecystectomy can be influenced by different factors, including male sex, advanced age, obesity, attacks of acute cholecystitis, impacted stones, previous abdominal surgery, specific ultrasonography findings such as thickened GB wall, distended GB, and pericholecystic fluid collection, as well as external factors like malfunction of inappropriate equipment.
Preoperative prediction risk factors of difficult Laparoscopic cholecystectomy provide various potential benefits. However, The degree of difficulty is difficult to predict, but it is crucial to do so for the surgeon to be prepared to handle a challenging case and assemble a more experienced surgical team for the patients with high-risk factors of a difficult LC and for the patient to be informed about the possibility of conversion to open cholecystectomy.
AIM OF THE WORK
This study aims to determine and evaluate different predictive risk factors for Difficult Laparoscopic Cholecystectomy.

Keywords