ArticleWorld journal of emergency surgery : WJES2019
Intra-operative gallbladder scoring predicts conversion of laparoscopic to open cholecystectomy: a WSES prospective collaborative study.
Article in World journal of emergency surgery : WJES, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04282759 (Difficulty in Laparoscopic Cholecystectomy Score Can Determine the Operative Challenge.), which is not on this map. Cited by 40 papers, 5 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Difficulty in Laparoscopic Cholecystectomy Score Can Determine the Operative Challenge.
Who cites it
40 citing papers in PubMed, 5 syntheses or guidelines pooled it, 82 citations in OpenAlex.
- Back to the battlefield: minimally invasive management of postcholecystectomy remnants: a systematic appraisal of safety and efficacy.Surgery today · 2026Pooled it
- Prophylactic cholecystectomy offers best outcomes following ERCP clearance of common bile duct stones: a meta-analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Pooled it
- Should Procalcitonin Be Included in Acute Cholecystitis Guidelines? A Systematic Review.Medicina (Kaunas, Lithuania) · 2023Pooled it
- It's time for a minimum synoptic operation template in patients undergoing laparoscopic cholecystectomy: a systematic review.World journal of emergency surgery : WJES · 2022Pooled it
- Clear Vision, Clear Savings: Enhancing Efficiency in Minimally Invasive Surgery.JSLS : Journal of the Society of Laparoendoscopic SurgeonsPooled it
- Artificial intelligence assessment of Parkland's grading scale in laparoscopic cholecystectomy: a step toward real-world outcome prediction.Updates in surgery · 2026Article
- Same-Admission Cholecystectomy Is Safe and Effective for Patients with Concurrent Choledocholithiasis and Cholangitis.Digestive diseases and sciences · 2026Article
- Regulating digital surgery to balance safety and innovation: a SAGES white paper.Surgical endoscopy · 2026Article
- Learning from single timestamps: complexity estimation in laparoscopic cholecystectomy.International journal of computer assisted radiology and surgery · 2026Article
- Article
- Low‑dose indocyanine green fluorescence cholangiography in laparoscopic cholecystectomy: visualization performance across validated risk scores.Langenbeck's archives of surgery · 2026Article
- Predictive value of an intraoperative gallbladder scoring system for surgical difficulty and post-operative outcomes in laparoscopic cholecystectomy.Northern clinics of Istanbul · 2026Article
- Bile Duct Injury and Litigation in Laparoscopic Cholecystectomy: A Global Review of Current and Future Preventative Initiatives.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025Review
- Cost comparison of laparoscopic versus open surgery for common procedures in Rwandan teaching hospitals.Surgery open science · 2025Article
- From the operating room: Surgeons' views on difficult laparoscopic cholecystectomies.Annals of hepato-biliary-pancreatic surgery · 2025Article
- Article
- Development and validation of a radiologically-based nomogram for preoperative prediction of difficult laparoscopic cholecystectomy.Frontiers in medicine · 2025Article
- Review
- Article
- Congenital absence of the gallbladder in a child: a case report.Frontiers in pediatrics · 2024Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Laparoscopic cholecystectomy, the gold-standard approach for cholecystectomy, has surprisingly variable outcomes and conversion rates. Only recently has operative grading been reported to define disease severity and few have been validated. This multicentre, multinational study assessed an operative scoring system to assess its ability to predict the need for conversion from laparoscopic to open cholecystectomy. Methods: A prospective, web-based, ethically approved study was established by WSES with a 10-point gallbladder operative scoring system; enrolling patients undergoing elective or emergency laparoscopic cholecystectomy between January 2016 and December 2017. Gallbladder surgery was considered easy if the G10 score < 2, moderate (2 ≦ 4), difficult (5 ≦ 7) and extreme (8 ≦ 10). Demographics about the patients, surgeons and operative procedures, use of cholangiography and conversion rates were recorded. Results: Five hundred four patients, mean age 53.5 (range 18-89), were enrolled by 55 surgeons in 16 countries. Surgery was performed by consultants in 70% and was elective in (56%) with a mean operative time of 78.7 min (range 15-400). The mean G10 score was 3.21, with 22% deemed to have difficult or extreme surgical gallbladders, and 71/504 patients were converted. The G10 score was 2.98 in those completed laparoscopically and 4.65 in the 71/504 (14%) converted. ( Conclusion: The G10 operative scores provide simple grading of operative cholecystectomy and are predictive of the need to convert to open cholecystectomy. Broader adaptation and validation may provide a benchmark to understand and improve care and afford more standardisation in global comparisons of care for cholecystectomy.
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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.