An observational study of patients with cholelithiasis, undergoing laparoscopic cholecystectomy to predict it is difficulty using preoperative scoring system

Nirav Patel; Darshan Patel; Shaunak Chacha

doi:10.5455/NJPPP.2025.v15.i2.14

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Original Research

Natl J Physiol Pharm Pharmacol. 2025; 15(2): 197-203

doi: 10.5455/NJPPP.2025.v15.i2.14

An observational study of patients with cholelithiasis, undergoing laparoscopic cholecystectomy to predict it is difficulty using preoperative scoring system

Nirav Patel, Darshan Patel, Shaunak Chacha.

Abstract
Aim:
This study aimed to validate whether predictive factors can predict difficult laparoscopic cholecystectomy(LC).

Method:
This observational prospective study was conducted at GCS Medical College, Hospital & Research Centerover a period of 2 years, from July 2022 to 2024.
The studied predictive factors were
• Age ≥50 years
• Male sex
• Body mass index (BMI) > 27.5 kg/m²
• History of hospitalization for acute cholecystitis
• History of abdominal surgery
• Palpable gallbladder (GB)
• Ultrasound (USG) findings:
• Pericholecystic fluid presence
• Impacted stones
• GB wall thickness > 4 mm
Detailed history, examination, and risk factor assessment were performed on all 100 subjects. Surgery was performedusing CO2 pneumoperitoneum at a pressure of 10 mmHg with two 5- and two 10-mm ports. The timing was recordedfrom the first incision at the port site until the last port closure. All patients received standard postoperative care andfollow-up.

Results:
The duration of surgery was significantly influenced by factors such as gender (p = 0.015), previous abdominalsurgery (p = 0.034), GB wall thickness (p < 0.0001), past history of cholecystitis, and the presence of impacted stoneson USG (p = 0.014). Conversely, factors like age, BMI, pericardial fluid, and clinically palpable GB had no significantimpact, as observed in the study.

Conclusion:
The use of a preoperative scoring system to predict difficult LC is effective, offering advantagessuch as reliance on commonly performed tests, no need for specialized equipment, and ease of understanding andimplementation.

Key words: Gallbladder, Laparoscopic cholecystectomy, Difficult cholecystectomy, Pre-operative assessment of gallbladder operation

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Pubmed Style

Patel N, Patel D, Chacha S. An observational study of patients with cholelithiasis, undergoing laparoscopic cholecystectomy to predict it is difficulty using preoperative scoring system. Natl J Physiol Pharm Pharmacol. 2025; 15(2): 197-203. doi:10.5455/NJPPP.2025.v15.i2.14

Web Style

Patel N, Patel D, Chacha S. An observational study of patients with cholelithiasis, undergoing laparoscopic cholecystectomy to predict it is difficulty using preoperative scoring system. https://www.njppp.com/?mno=229507 [Access: March 07, 2025]. doi:10.5455/NJPPP.2025.v15.i2.14

AMA (American Medical Association) Style

Patel N, Patel D, Chacha S. An observational study of patients with cholelithiasis, undergoing laparoscopic cholecystectomy to predict it is difficulty using preoperative scoring system. Natl J Physiol Pharm Pharmacol. 2025; 15(2): 197-203. doi:10.5455/NJPPP.2025.v15.i2.14

Vancouver/ICMJE Style

Patel N, Patel D, Chacha S. An observational study of patients with cholelithiasis, undergoing laparoscopic cholecystectomy to predict it is difficulty using preoperative scoring system. Natl J Physiol Pharm Pharmacol. (2025), [cited March 07, 2025]; 15(2): 197-203. doi:10.5455/NJPPP.2025.v15.i2.14

Harvard Style

Patel, N., Patel, . D. & Chacha, . S. (2025) An observational study of patients with cholelithiasis, undergoing laparoscopic cholecystectomy to predict it is difficulty using preoperative scoring system. Natl J Physiol Pharm Pharmacol, 15 (2), 197-203. doi:10.5455/NJPPP.2025.v15.i2.14

Turabian Style

Patel, Nirav, Darshan Patel, and Shaunak Chacha. 2025. An observational study of patients with cholelithiasis, undergoing laparoscopic cholecystectomy to predict it is difficulty using preoperative scoring system. National Journal of Physiology, Pharmacy and Pharmacology, 15 (2), 197-203. doi:10.5455/NJPPP.2025.v15.i2.14

Chicago Style

Patel, Nirav, Darshan Patel, and Shaunak Chacha. "An observational study of patients with cholelithiasis, undergoing laparoscopic cholecystectomy to predict it is difficulty using preoperative scoring system." National Journal of Physiology, Pharmacy and Pharmacology 15 (2025), 197-203. doi:10.5455/NJPPP.2025.v15.i2.14

MLA (The Modern Language Association) Style

APA (American Psychological Association) Style

Patel, N., Patel, . D. & Chacha, . S. (2025) An observational study of patients with cholelithiasis, undergoing laparoscopic cholecystectomy to predict it is difficulty using preoperative scoring system. National Journal of Physiology, Pharmacy and Pharmacology, 15 (2), 197-203. doi:10.5455/NJPPP.2025.v15.i2.14

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