ArticleWideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques2014
A risk score to predict the difficulty of elective laparoscopic cholecystectomy.
Article in Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 47 citations in OpenAlex.
- Predictive score for conversion in laparoscopic cholecystectomy - a prospective study.Turkish journal of surgery · 2025Article
- Research progress in the treatment of gallstones with laparoscopic and endoscopic surgery: a narrative review.BMC surgery · 2025Review
- Outcome of single-incision laparoscopic cholecystectomy compared to three-incision laparoscopic cholecystectomy for acute cholecystitis.Annals of hepato-biliary-pancreatic surgery · 2023Article
- Laparoscopic Cholecystectomy in Children: The Experience of Two Centers Focusing on Indications and Timing in the Era of "New Technologies".Children (Basel, Switzerland) · 2023Article
- Snare-assisted flexible endoscope in trans-gastric endoscopic gallbladder-preserving surgery: A pilot animal study.World journal of gastroenterology · 2022Article
- A novel difficulty grading system for laparoscopic living donor nephrectomy.Surgical endoscopy · 2021Article
- A prospective cohort study for prediction of difficult laparoscopic cholecystectomy.Annals of medicine and surgery (2012) · 2020Article
- Laparoscopic Cholecystectomy for Symptomatic Cholecystic Disease in Children: Defining Surgical Timing.Frontiers in pediatrics · 2020Article
- Transgastric endoscopic gallbladder polypectomy and cholecystolithiasis: A case report.Experimental and therapeutic medicine · 2020Article
- Utilization of an Intraoperative Grading Scale in Laparoscopic Cholecystectomy: A Nepalese Perspective.Gastroenterology research and practice · 2020Article
- A new clinical-ultrasound score to predict difficult videolaparocholecystectomies: A prospective study.Annals of medicine and surgery (2012) · 2018Article
- Single center experience in laparoscopic treatment of gallbladder perforation.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2017Article
- Standardised mortality rate for cerebrovascular diseases in the Slovak Republic from 1996 to 2013 in the context of income inequalities and its international comparison.Health economics review · 2017Article
- A preoperatively predictive difficulty scoring system for laparoscopic spleen-preserving splenic hilar lymph node dissection for gastric cancer: experience from a large-scale single center.Surgical endoscopy · 2016Article
- COMPARATIVE ANALYSIS OF PREOPERATIVE ULTRASONOGRAPHY REPORTS WITH INTRAOPERATIVE SURGICAL FINDINGS IN CHOLELITHIASIS.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2016Observational
- Short-term outcomes of the new intragastric balloon End-BallWideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2016Article
- Predicting Difficult Laparoscopic Cholecystectomy Based on Clinicoradiological Assessment.Journal of clinical and diagnostic research : JCDR · 2015Article
- Laparoscopic gastric plication and its effect on saccharide and lipid metabolism: a 12-month prospective study.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2015Article
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionSeveral preoperative scoring systems have been proposed to predict the difficulty of laparoscopic cholecystectomy in order to optimize the results of surgical treatment by either selection of patients for the procedure or providing an adequately experienced surgical team for a given patient. Nevertheless, none of them has achieved significant penetration into everyday practice.
aimTo propose and validate a novel risk score based on the patient's history, physical examination and abdominal ultrasonography parameters. MATERIAL AND
methodsThe risk score was defined by the presence of the following risk factors: male sex, biliary colic within the last 3 weeks prior to surgery, history of acute cholecystitis treated conservatively, previous upper abdominal surgery, right upper quadrant pain, rigidity in right upper abdomen and ultrasonographic parameters - thickening of the gallbladder wall ≥ 4 mm, hydropic gallbladder (diameter exceeding 4.5 cm) and shrunken gallbladder. One point was allocated for each risk factor, except for previous upper abdominal surgery, which scored two. Difficulty of the surgery was assessed by operating time (OT) and the postoperative subjective evaluation score (PSES).
resultsFive hundred and eighty-six consecutive patients were enrolled in the prospective observational study. A significant linear correlation was observed between the risk score and measures of difficulty employed. Five levels of difficulty were defined (score 0, 1, 2, 3, ≥ 4) with significant differences in OT, PSES and conversion rates (p < 0.001).
conclusionsThe suggested risk score is designed as a simple and reliable predictive model, possibly effective to overcome the negative effect of the individual proficiency gain curve and/or to select 'easy' cases for day surgery, single incision laparoscopic surgery or natural orifice translumenal endoscopic surgery procedures.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.