A new clinical-ultrasound score to predict difficult videolaparocholecystectomies: A prospective study

ConclusionsThe variables which proved statistically significant in predicting a difficult cholecystectomy were: age, parietal thickness>3 mm, adhesions, stratifications, gallstones>2 cm and fixed gallstones. We have definitively defined a predictive score for difficult VLC for which a VLC is to be considered potentially difficult whenever it presents a pre-operative score equal or greater than 4 (and a "easy" one with a pre-operative score less than 4). These findings may prove helpful in further reducing the conversion rate and the rate of intra- and/or post-operative complications.
Source: Annals of Medicine and Surgery - Category: General Medicine Source Type: research