Predictors of Difficult Laparoscopic Cholecystectomy, Scoring Systems and Their Implications on the Outcomes , Sohag Experience.

Sohag University

Status: Enrolling

Conditions: Chronic Calculous Cholecystitis

Treatments: Procedure: laparoscopic cholecystectomy

Study type: Interventional

Funder types: Other

Identifiers

NCT05859607

Soh-Med-23-03-14MS

Details and patient eligibility

About

laparoscopic cholecystectomy nowadays is the most common surgery done by General surgery surgeons , so it is necessary to evaluate the difficulty of each case prior to surgery and from the first look ,to avoid complications and improve outcomes , so scoring systems are needed for better assessment of the overall condition and make good decision .

Enrollment: 50 estimated patients

Sex: Male

Ages: 15+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients with symptomatic gall stones

Exclusion criteria

• lap to open conversion due to equipment failure pregnancy common bile duct stone obstructive jaundice unfit for general anesthesia patients refusing lap cholecystectomy.

Trial design

Primary purpose: Diagnostic

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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50 participants in 3 patient groups

Easy cholecystectomy

Active Comparator group

Description:

easy procedure with no complications

Treatment:

Procedure: laparoscopic cholecystectomy

moderate severe cholecystectomy

Active Comparator group

Description:

moderate severity with prolonged time or complication .

Treatment:

Procedure: laparoscopic cholecystectomy

difficult cholecystectomy

Active Comparator group

Description:

very prolonged time , complication or conversion to open cholecystectomy .

Treatment:

Procedure: laparoscopic cholecystectomy