Reaching Consensus on the Definition of Difficult Cholecystectomy

Candido Fernando Alcazar-Lopez

Status: Completed

Conditions: Cholelithiasis

Treatments: Other: delphi project

Study type: Observational

Funder types: Other

Identifiers

NCT05121181

0

Details and patient eligibility

About

Being able to predict the difficulty of a preoperatively can increase safety and improve results. However, a consensus must be reached regarding the definition of a cholecystectomy as "difficult". The aim of this study is to achieve a national expert consensus.

Methods A Delphi study was conducted. Based on the literature, a history of biliary pathology, preoperative clinical, analytical, and radiological data, and intraoperative findings were selected and rated on a Likert scale.

Inter-rater agreement was defined as "unanimous" when 100% of the participants gave an item the same the Likert scale rating; as "consensus" when ≥80% agreed; as "majority" when the agreement was ≥70%.

Full description

A Delphi study was conducted. Inter-rater agreement was defined as "unanimous" when 100% of the participants gave an item the same the Likert scale rating; as "consensus" when ≥80% agreed; as "majority" when the agreement was ≥70%.

Enrollment: 46 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• Spanish surgeons
• experts in laparoscopic cholecystectomy, with more than 10 years of experience

Exclusion criteria

• not Spanish
• not experts in laparoscopic cholecystectomy.