ArticleSaudi medical journal2025
Validation of a scoring system to predict difficult laparoscopic cholecystectomy in a tertiary hospital in Saudi-Arabia: A retrospective study.
Abstract readValidation Study
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Article in Saudi medical journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2citing papers in PubMed
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2 citing papers in PubMed.
- Review
- Predictive value of an intraoperative gallbladder scoring system for surgical difficulty and post-operative outcomes in laparoscopic cholecystectomy.Northern clinics of Istanbul · 2026Article
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Authors and funding
14 authors.
Hazem A MegahedFrom the Department of General Surgery (Megahed), Faculty of Medicine for Boys, Al-Azhar, University; from the Department of General Surgery (Taki-Eldin), Faculty of Medicine, Horus University-Egypt, New Damietta; from the Higher Institute for Computers (El Wakel4), Information and Management Technology, Tanta; from the Department of Clinical Pathology (Elmoursi), Student Hospital, Mansoura University, Almansoura, Egypt; from the Department of General Surgery (Al Yousif, Marie), National Guard Health Affairs, King Abdulaziz Medical City; from the Department of Internal Medicine (Al Jabbary), Dallah Hospital; from the College of Business (El Wakel), and from the College of Medicine (Al Majhad, Al-Etebi, AL Moallem, Al-Enazi, Al Haddad, Lashin, Al Ali), Dar Al Uloom University, Riyadh, Kingdom of Saudi Arabia.ORCID https://orcid.org/0009-0005-7872-9971
Zeyad M Al YousefFrom the Department of General Surgery (Megahed), Faculty of Medicine for Boys, Al-Azhar, University; from the Department of General Surgery (Taki-Eldin), Faculty of Medicine, Horus University-Egypt, New Damietta; from the Higher Institute for Computers (El Wakel4), Information and Management Technology, Tanta; from the Department of Clinical Pathology (Elmoursi), Student Hospital, Mansoura University, Almansoura, Egypt; from the Department of General Surgery (Al Yousif, Marie), National Guard Health Affairs, King Abdulaziz Medical City; from the Department of Internal Medicine (Al Jabbary), Dallah Hospital; from the College of Business (El Wakel), and from the College of Medicine (Al Majhad, Al-Etebi, AL Moallem, Al-Enazi, Al Haddad, Lashin, Al Ali), Dar Al Uloom University, Riyadh, Kingdom of Saudi Arabia.
Ahmed S Al JabbaryFrom the Department of General Surgery (Megahed), Faculty of Medicine for Boys, Al-Azhar, University; from the Department of General Surgery (Taki-Eldin), Faculty of Medicine, Horus University-Egypt, New Damietta; from the Higher Institute for Computers (El Wakel4), Information and Management Technology, Tanta; from the Department of Clinical Pathology (Elmoursi), Student Hospital, Mansoura University, Almansoura, Egypt; from the Department of General Surgery (Al Yousif, Marie), National Guard Health Affairs, King Abdulaziz Medical City; from the Department of Internal Medicine (Al Jabbary), Dallah Hospital; from the College of Business (El Wakel), and from the College of Medicine (Al Majhad, Al-Etebi, AL Moallem, Al-Enazi, Al Haddad, Lashin, Al Ali), Dar Al Uloom University, Riyadh, Kingdom of Saudi Arabia.
Mona F El WakelFrom the Department of General Surgery (Megahed), Faculty of Medicine for Boys, Al-Azhar, University; from the Department of General Surgery (Taki-Eldin), Faculty of Medicine, Horus University-Egypt, New Damietta; from the Higher Institute for Computers (El Wakel4), Information and Management Technology, Tanta; from the Department of Clinical Pathology (Elmoursi), Student Hospital, Mansoura University, Almansoura, Egypt; from the Department of General Surgery (Al Yousif, Marie), National Guard Health Affairs, King Abdulaziz Medical City; from the Department of Internal Medicine (Al Jabbary), Dallah Hospital; from the College of Business (El Wakel), and from the College of Medicine (Al Majhad, Al-Etebi, AL Moallem, Al-Enazi, Al Haddad, Lashin, Al Ali), Dar Al Uloom University, Riyadh, Kingdom of Saudi Arabia.
Lamiaa Z ElmoursiFrom the Department of General Surgery (Megahed), Faculty of Medicine for Boys, Al-Azhar, University; from the Department of General Surgery (Taki-Eldin), Faculty of Medicine, Horus University-Egypt, New Damietta; from the Higher Institute for Computers (El Wakel4), Information and Management Technology, Tanta; from the Department of Clinical Pathology (Elmoursi), Student Hospital, Mansoura University, Almansoura, Egypt; from the Department of General Surgery (Al Yousif, Marie), National Guard Health Affairs, King Abdulaziz Medical City; from the Department of Internal Medicine (Al Jabbary), Dallah Hospital; from the College of Business (El Wakel), and from the College of Medicine (Al Majhad, Al-Etebi, AL Moallem, Al-Enazi, Al Haddad, Lashin, Al Ali), Dar Al Uloom University, Riyadh, Kingdom of Saudi Arabia.
Al Faisal M Al MajhadFrom the Department of General Surgery (Megahed), Faculty of Medicine for Boys, Al-Azhar, University; from the Department of General Surgery (Taki-Eldin), Faculty of Medicine, Horus University-Egypt, New Damietta; from the Higher Institute for Computers (El Wakel4), Information and Management Technology, Tanta; from the Department of Clinical Pathology (Elmoursi), Student Hospital, Mansoura University, Almansoura, Egypt; from the Department of General Surgery (Al Yousif, Marie), National Guard Health Affairs, King Abdulaziz Medical City; from the Department of Internal Medicine (Al Jabbary), Dallah Hospital; from the College of Business (El Wakel), and from the College of Medicine (Al Majhad, Al-Etebi, AL Moallem, Al-Enazi, Al Haddad, Lashin, Al Ali), Dar Al Uloom University, Riyadh, Kingdom of Saudi Arabia.
Rakan A Al-EtebiFrom the Department of General Surgery (Megahed), Faculty of Medicine for Boys, Al-Azhar, University; from the Department of General Surgery (Taki-Eldin), Faculty of Medicine, Horus University-Egypt, New Damietta; from the Higher Institute for Computers (El Wakel4), Information and Management Technology, Tanta; from the Department of Clinical Pathology (Elmoursi), Student Hospital, Mansoura University, Almansoura, Egypt; from the Department of General Surgery (Al Yousif, Marie), National Guard Health Affairs, King Abdulaziz Medical City; from the Department of Internal Medicine (Al Jabbary), Dallah Hospital; from the College of Business (El Wakel), and from the College of Medicine (Al Majhad, Al-Etebi, AL Moallem, Al-Enazi, Al Haddad, Lashin, Al Ali), Dar Al Uloom University, Riyadh, Kingdom of Saudi Arabia.
Hatim A Al MoallemFrom the Department of General Surgery (Megahed), Faculty of Medicine for Boys, Al-Azhar, University; from the Department of General Surgery (Taki-Eldin), Faculty of Medicine, Horus University-Egypt, New Damietta; from the Higher Institute for Computers (El Wakel4), Information and Management Technology, Tanta; from the Department of Clinical Pathology (Elmoursi), Student Hospital, Mansoura University, Almansoura, Egypt; from the Department of General Surgery (Al Yousif, Marie), National Guard Health Affairs, King Abdulaziz Medical City; from the Department of Internal Medicine (Al Jabbary), Dallah Hospital; from the College of Business (El Wakel), and from the College of Medicine (Al Majhad, Al-Etebi, AL Moallem, Al-Enazi, Al Haddad, Lashin, Al Ali), Dar Al Uloom University, Riyadh, Kingdom of Saudi Arabia.
Nawaf M Al-EnaziFrom the Department of General Surgery (Megahed), Faculty of Medicine for Boys, Al-Azhar, University; from the Department of General Surgery (Taki-Eldin), Faculty of Medicine, Horus University-Egypt, New Damietta; from the Higher Institute for Computers (El Wakel4), Information and Management Technology, Tanta; from the Department of Clinical Pathology (Elmoursi), Student Hospital, Mansoura University, Almansoura, Egypt; from the Department of General Surgery (Al Yousif, Marie), National Guard Health Affairs, King Abdulaziz Medical City; from the Department of Internal Medicine (Al Jabbary), Dallah Hospital; from the College of Business (El Wakel), and from the College of Medicine (Al Majhad, Al-Etebi, AL Moallem, Al-Enazi, Al Haddad, Lashin, Al Ali), Dar Al Uloom University, Riyadh, Kingdom of Saudi Arabia.
Karam F Al HaddadFrom the Department of General Surgery (Megahed), Faculty of Medicine for Boys, Al-Azhar, University; from the Department of General Surgery (Taki-Eldin), Faculty of Medicine, Horus University-Egypt, New Damietta; from the Higher Institute for Computers (El Wakel4), Information and Management Technology, Tanta; from the Department of Clinical Pathology (Elmoursi), Student Hospital, Mansoura University, Almansoura, Egypt; from the Department of General Surgery (Al Yousif, Marie), National Guard Health Affairs, King Abdulaziz Medical City; from the Department of Internal Medicine (Al Jabbary), Dallah Hospital; from the College of Business (El Wakel), and from the College of Medicine (Al Majhad, Al-Etebi, AL Moallem, Al-Enazi, Al Haddad, Lashin, Al Ali), Dar Al Uloom University, Riyadh, Kingdom of Saudi Arabia.
Ahmed M LashinFrom the Department of General Surgery (Megahed), Faculty of Medicine for Boys, Al-Azhar, University; from the Department of General Surgery (Taki-Eldin), Faculty of Medicine, Horus University-Egypt, New Damietta; from the Higher Institute for Computers (El Wakel4), Information and Management Technology, Tanta; from the Department of Clinical Pathology (Elmoursi), Student Hospital, Mansoura University, Almansoura, Egypt; from the Department of General Surgery (Al Yousif, Marie), National Guard Health Affairs, King Abdulaziz Medical City; from the Department of Internal Medicine (Al Jabbary), Dallah Hospital; from the College of Business (El Wakel), and from the College of Medicine (Al Majhad, Al-Etebi, AL Moallem, Al-Enazi, Al Haddad, Lashin, Al Ali), Dar Al Uloom University, Riyadh, Kingdom of Saudi Arabia.
Mohammed Y Al AliFrom the Department of General Surgery (Megahed), Faculty of Medicine for Boys, Al-Azhar, University; from the Department of General Surgery (Taki-Eldin), Faculty of Medicine, Horus University-Egypt, New Damietta; from the Higher Institute for Computers (El Wakel4), Information and Management Technology, Tanta; from the Department of Clinical Pathology (Elmoursi), Student Hospital, Mansoura University, Almansoura, Egypt; from the Department of General Surgery (Al Yousif, Marie), National Guard Health Affairs, King Abdulaziz Medical City; from the Department of Internal Medicine (Al Jabbary), Dallah Hospital; from the College of Business (El Wakel), and from the College of Medicine (Al Majhad, Al-Etebi, AL Moallem, Al-Enazi, Al Haddad, Lashin, Al Ali), Dar Al Uloom University, Riyadh, Kingdom of Saudi Arabia.
Sarah MarieFrom the Department of General Surgery (Megahed), Faculty of Medicine for Boys, Al-Azhar, University; from the Department of General Surgery (Taki-Eldin), Faculty of Medicine, Horus University-Egypt, New Damietta; from the Higher Institute for Computers (El Wakel4), Information and Management Technology, Tanta; from the Department of Clinical Pathology (Elmoursi), Student Hospital, Mansoura University, Almansoura, Egypt; from the Department of General Surgery (Al Yousif, Marie), National Guard Health Affairs, King Abdulaziz Medical City; from the Department of Internal Medicine (Al Jabbary), Dallah Hospital; from the College of Business (El Wakel), and from the College of Medicine (Al Majhad, Al-Etebi, AL Moallem, Al-Enazi, Al Haddad, Lashin, Al Ali), Dar Al Uloom University, Riyadh, Kingdom of Saudi Arabia.
Ahmed Taki-EldinFrom the Department of General Surgery (Megahed), Faculty of Medicine for Boys, Al-Azhar, University; from the Department of General Surgery (Taki-Eldin), Faculty of Medicine, Horus University-Egypt, New Damietta; from the Higher Institute for Computers (El Wakel4), Information and Management Technology, Tanta; from the Department of Clinical Pathology (Elmoursi), Student Hospital, Mansoura University, Almansoura, Egypt; from the Department of General Surgery (Al Yousif, Marie), National Guard Health Affairs, King Abdulaziz Medical City; from the Department of Internal Medicine (Al Jabbary), Dallah Hospital; from the College of Business (El Wakel), and from the College of Medicine (Al Majhad, Al-Etebi, AL Moallem, Al-Enazi, Al Haddad, Lashin, Al Ali), Dar Al Uloom University, Riyadh, Kingdom of Saudi Arabia.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo confirm a preoperative scoring system devised by the Modified Randhawa Model.
methodsThis retrospective study was performed in the period between October 2017 to October 2023 on every patients hospitalized for elective laparoscopic cholecystectomy in the Surgery Department, National Guard Hospital in Riyadh, Saudi Arabia. A preoperative scoring system, devised using the Modified Randhawa Model, was applied to each patient retrospectively. The preoperative score was compared to the intraoperative degree of difficulty.
resultsThe history of previous biliary inflammation, the impacted stone, the palpable gall bladder, the more gall bladder wall thickness, the higher body mass index and older ages were significantly associated with more difficult surgeries and more operative time. The preoperative scoring system devised by the Modified Randhawa Model is valid.
conclusionThe study found that the Modified Randhawa Model scoring system is valid, effective and reliable predictor of LC difficulty in Saudi Arabia.
Indexed as
Cholecystectomy, LaparoscopicAdultAgedFemaleHumansMaleMiddle AgedOperative TimeRetrospective StudiesSaudi ArabiaTertiary Care CentersDifficult laparoscopic cholecystectomyprediction of difficult laparoscopic cholecystectomyscoring system for laparoscopic cholecystectomy
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