Grading operative findings at laparoscopic cholecystectomy- a new scoring system

Hdl Handle:
http://hdl.handle.net/10147/574905
Title:
Grading operative findings at laparoscopic cholecystectomy- a new scoring system
Authors:
Sugrue, Michael; Sahebally, Shaheel M; Ansaloni, Luca; Zielinski, Martin D
Citation:
World Journal of Emergency Surgery. 2015 Mar 08;10(1):14
Issue Date:
8-Mar-2015
URI:
http://dx.doi.org/10.1186/s13017-015-0005-x; http://hdl.handle.net/10147/574905
Abstract:
Abstract Introduction Variation in outcomes from surgery is a major challenge and defining surgical findings may help set benchmarks, which currently do not exist in laparoscopic cholecystectomy. This study outlines a new surgical scoring system incorporating key operative findings. Methods English language studies (from January 1965 to July 2014) pertaining to severity scoring and predictors of difficult laparoscopic cholecystectomy were searched for in PubMed, Embase and Cochrane databases using the search terms ‘Laparoscopic cholecystectomy or Lap chole’ and/or ‘Scoring Index or Grading system or Prediction of difficulty or Conversion to open’ in various combinations. Cross-referencing from papers retrieved in the original search identified additional articles. Results Sixteen published papers report a gallbladder (GB) scoring system, but all relate to pre-operative clinical and imaging findings, rather than operative findings. The current scoring system, using operative findings incorporates the appearance of the GB, presence of GB distension, ease of access, potential biliary complications and time taken to identify cystic duct and artery. A score of <2 would imply mild difficulty, 2–4 moderate, 5–7 severe and 8–10 extreme. Conclusion This paper reports one of the first operative classifications of findings at laparoscopic cholecystectomy. It has the potential to allow benchmarks for international collaboration of operative and patient outcomes in patients undergoing laparoscopic cholecystectomy.
Language:
en
Keywords:
SURGERY; OUTCOMES

Full metadata record

DC FieldValue Language
dc.contributor.authorSugrue, Michaelen
dc.contributor.authorSahebally, Shaheel Men
dc.contributor.authorAnsaloni, Lucaen
dc.contributor.authorZielinski, Martin Den
dc.date.accessioned2015-08-17T16:01:38Zen
dc.date.available2015-08-17T16:01:38Zen
dc.date.issued2015-03-08en
dc.identifier.citationWorld Journal of Emergency Surgery. 2015 Mar 08;10(1):14en
dc.identifier.urihttp://dx.doi.org/10.1186/s13017-015-0005-xen
dc.identifier.urihttp://hdl.handle.net/10147/574905en
dc.description.abstractAbstract Introduction Variation in outcomes from surgery is a major challenge and defining surgical findings may help set benchmarks, which currently do not exist in laparoscopic cholecystectomy. This study outlines a new surgical scoring system incorporating key operative findings. Methods English language studies (from January 1965 to July 2014) pertaining to severity scoring and predictors of difficult laparoscopic cholecystectomy were searched for in PubMed, Embase and Cochrane databases using the search terms ‘Laparoscopic cholecystectomy or Lap chole’ and/or ‘Scoring Index or Grading system or Prediction of difficulty or Conversion to open’ in various combinations. Cross-referencing from papers retrieved in the original search identified additional articles. Results Sixteen published papers report a gallbladder (GB) scoring system, but all relate to pre-operative clinical and imaging findings, rather than operative findings. The current scoring system, using operative findings incorporates the appearance of the GB, presence of GB distension, ease of access, potential biliary complications and time taken to identify cystic duct and artery. A score of <2 would imply mild difficulty, 2–4 moderate, 5–7 severe and 8–10 extreme. Conclusion This paper reports one of the first operative classifications of findings at laparoscopic cholecystectomy. It has the potential to allow benchmarks for international collaboration of operative and patient outcomes in patients undergoing laparoscopic cholecystectomy.en
dc.language.isoenen
dc.subjectSURGERYen
dc.subjectOUTCOMESen
dc.titleGrading operative findings at laparoscopic cholecystectomy- a new scoring systemen
dc.language.rfc3066enen
dc.rights.holderSugrue et al.; licensee BioMed Central.en
dc.date.updated2015-08-14T13:21:35Zen
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