A Scoring System for Difficult Laparoscopic Cholecystectomy
A Scoring System for Difficult Laparoscopic Cholecystectomy
Laparoscopic cholecystectomy is the treatment of choice for gall bladder stone disease.
 Difficult laparoscopic cholecystectomy (LC) is the most common "difficult" surgical procedure
 performed today, which possesses the potential to place the patient at significant operative
 risk.The aim of this study was to put a scoring system to avoid difficult laparoscopic
 cholecystectomy.
Patients with symptomatic chronic calculous cholecystitis based on clinical and radiological
 correlation undergoing elective laparoscopic cholecystectomy at Assiut University hospitals
 will be included for the study of 100 patients will operated by single experienced
 laparoscopic surgeon.The scores are given on history, clinical examination and radiological
 findings one day prior to surgery on admission.
Inclusion Criteria:

 -  Adults male and female age of or above 18 years

 -  Symptomatic chronic calculous cholecystitis

 -  Ultrasound confirmed Gall bladder stones

 Exclusion Criteria:

 -  Complicated chronic calculous cholecystitis

 -  Malignant Gall bladder