A Prospective Study on Preoperative Predictive Factors for Difficult Laparoscopic Cholecystectomy
Year: 2025
Type: article
Study design: Observational Study
Abstract: Background: Laparoscopic cholecystectomy (LC) is the standard treatment for gallstone disease. However, predicting surgical difculty preoperatively remains a challenge. Identifying risk factors can help optimize patient management and improve outcomes. This study aims to evaluate specic demograph Objective: ic, clinical, biochemical, and radiological predictors of difcult LC. This prospective observational st Methods: udy included 50 patients undergoing LC at MIMS General Hospital between July 2022 and December 2023. Patients were assessed preoperatively for demographic characteristics, clinical presentation, laboratory ndings, and imaging parameters. Intraoperative factors such as surgery duration, blood loss, and conversion to open surgery were recorded. Statistical analysis was conducted using SPSS, with a signicance threshold of p<0.05. Older age (≥40 years, 72%), female Results: gender (70%), and BMI >30 (p=0.031) were signicantly associated with surgical difculty. Gallbladder wall thickness >4mm correlated with prolonged surgery (p=0.0054) and increased bleeding (p=0.002) [1,2]. Elevated total leukocyte count (>11,000) was linked to greater blood loss (p=0.0022) and longer surgery duration (p=0.052) [3,4]. Distended or contracted gallbladders were associated with increased bleeding (p=0.02) [5]. In contrast, previous surgery, number of stones, and stone size did not signicantly impact surgical difculty [6]. Gallbladder wall thickness, BMI, and TLC are key predict Conclusion: ors of difcult LC. Preoperative risk assessment incorporating these factors can improve patient outcomes and surgical planning.
Authors: Kusuma Rahul Deep, Susnigdha Kotaru
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4410061246