Operative Difficulty Grading Scale for Laparoscopic Cholecystectomy in BPKIHS
Study Details
Study Description
Brief Summary
The main purpose of this study is to utilize operative grading scale to predict conversion to open,complication and reintervention and validate Nassar Scale.
| Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
Laparoscopic cholecystectomy is the commonly performed procedure in our institute. Laparosopic cholecystectomy is high variable surgery ranging from simple routine operation to difficult surgery leading to increased morbidity and mortality. The majority of previous scores use a combination of pre-operative and operative data and were produced in studies that were limited by retrospective data, small sample sizes and lack of external validation.
Very few intraoperative difficulty grading scale was published and none are widely used in clinical practice. So operative grading scale will have advantages of assisting in intra-operative strategy and planning, allowing comparison across different research studies, facilitating risk adjustment for surgical outcomes and providing an aid in training surgeons and monitoring of training progression.
The main purpose of this study is to utilize operative grading scale to predict conversion to open,complication and reintervention.
Study Design
Outcome Measures
Primary Outcome Measures
- Laproscopic cholecystectomy Conversion to open with Nassar Grade [30 day]
Laproscopic cholecystectomy converted to open with Nassar grade ie chance of conversion to open in higher Nassar grade(difficult laparoscopic cholecystectomy)
- Duration of Surgery [30 day]
- Introperative Complication with Nassar Grade [30 day]
Complication like biliary spillage, stone spillage and bleeding with higher Nassar grade (difficult laparoscopic cholecystectomy)
Secondary Outcome Measures
- Total length of stay [30 day]
Eligibility Criteria
Criteria
Inclusion Criteria:
- All patients undergoing laparoscopic cholecystectomy
Exclusion Criteria:
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CBD Stone
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Malignancy of Extrahepatic biliary tree
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Cholecystectomy as a part of other surgery
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Nirmal Prasad sah | Dharān Bāzār | Province 1 | Nepal |
Sponsors and Collaborators
- B.P. Koirala Institute of Health Sciences
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
- Ahmed N, Hassan MU, Tahira M, Samad A, Rana HN. Intra-Operative Predictors of difficult cholecystectomy and Conversion to Open Cholecystectomy - A New Scoring System. Pak J Med Sci. 2018 Jan-Feb;34(1):62-66. doi: 10.12669/pjms.341.13302.
- Chandio A, Timmons S, Majeed A, Twomey A, Aftab F. Factors influencing the successful completion of laparoscopic cholecystectomy. JSLS. 2009 Oct-Dec;13(4):581-6. doi: 10.4293/108680809X1258998404560.
- 1758/020