PREOPERTAIVE EVALUATIONS AS A PREDICECTOR FOR ASSESSMENT OF DIFFICULTY IN LAPAROSCOPIC CHOLECYSTECTOMY

Gupta Neelkamal; Sharma Brijesh Kumar

Volume : VII, Issue : IX, September - 2018

PREOPERTAIVE EVALUATIONS AS A PREDICECTOR FOR ASSESSMENT OF DIFFICULTY IN LAPAROSCOPIC CHOLECYSTECTOMY

Gupta Neelkamal, Sharma Brijesh Kumar

Abstract :

INTRODUCTION: Laparoscopic cholecystectomy is the most common abdominal procedure performed in Western countries. Preoperative procedures including ultrasound can be used as a predictor of difficulty level during surgical procedure in more than 50% of cases.Thus this present study was planned to use various preoperative majors including ultrasound for calculating a scoring system to assess the difficulty in laparoscopic cholecystectomy.

MATERIAL AND METHOD: The present study was conducted on 50 patients of gall bladder diseases on either sex in Department of Surgery, Mahatma Gandhi Medical College & Hospital, Jaipur. A scoring system was developed to find out difficulty level using preoperative findings and compared with difficulty occur during actual surgical procedure. Sensitivity and specificity was calculated.

RESULT AND DISCUSSION: The number of cases predicted to be difficult/ very difficult on preoperative evolutions were compared with difficulty occurred during actual procedure andobserved that sensitivity and specificity of preoperative evolutions as 85.7% and 86.2% respectively.

CONCLUSION: It is concluded that preoperative evaluations are a good predictor of difficulty in laparoscopic cholecystectomy in majority of cases and should be used as a screening procedure.