Evidence map›Paper›PMID 39865225›Full record

ArticleBMC surgery2025

Validation of preoperative predictor score for difficult laparascopic cholecystectomy and a modified intraoperative grading score of the difficulty of laparascopic cholecystectomy: from a resource limited setting.

Nurhussen Mossa Ahmed, Surafel Mulatu Djote, Getachew Desta Alemayehu, Wondwossen Amtataw, Sitotaw Mossa Ahmed

Abstract readValidation Study
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Article in BMC surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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0cells of the map it votes in
3citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Nurhussen Mossa AhmedDepartment of surgery, Yekatit 12 hospital medical college, Addis Ababa, Ethiopia. nurhu169465@gmail.com.
Surafel Mulatu DjoteDepartment of surgery, Yekatit 12 hospital medical college, Addis Ababa, Ethiopia.
Getachew Desta AlemayehuDepartment of surgery, Yekatit 12 hospital medical college, Addis Ababa, Ethiopia.
Wondwossen AmtatawDepartment of surgery, Yekatit 12 hospital medical college, Addis Ababa, Ethiopia.
Sitotaw Mossa AhmedDepartment of statistics, Jinka University, Jinka, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDifficult laparascopic cholecystectomy has greater risk of biliary, vascular and visceral injuries. A tool to predict the difficulty help to prepare a head and avoid complications.

aimthe aim of this study is validation of preoperative predictor score and a modified intraoperative grading score for difficulty of laparascopic cholecystectomy.

methodsThis study was a cross sectional, hospital based study on 200 patients. There are total of 10 scores for preoperative predictor score and 16 scores for the modified intraoperative grading of LC. Structured checklist questionnaire was used.

resultprevalence of difficult LC was 40%. age greater than or equal to 50years, history of admission for acute cholecystitis, BMI > 30, palpable GB, impacted stone on imaging, adhesion burying GB, time to identify cystic artery/duct, bile/stone spillage and type of ligature were statistically significantly factors for difficult laparascopic cholecystectomy.

conclusionThe preoperative scoring is statistically and clinically a good test for predicting the difficult level of laparascopic cholecystectomy (area under ROC = 0.948). The modified intraoperative measure of LC score is a statistically and clinically a good test for classifying the operative outcome of LC (area under ROC = 0.94).

Indexed as

Cholecystectomy, LaparoscopicAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and QuestionnairesYoung AdultDifficult laparoscopic cholecystectomyIntraoperative scorePreoperative scoreSymptomatic cholelithiasis

Identifiers

PMID39865225
PMCPMC11771005

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