Health Condition 1: K80- Cholelithiasis Health Condition 2: K82- Other diseases of gallbladder Health Condition 3: K819- Cholecystitis, unspecified
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Undergoing laparoscopic cholecystectomy Preoperative ultrasonographic measurement of gallbladder wall thickness (GBWT)and serum C-reactive protein (CRP) level assessment Provision of informed written consent
Exclusion criteria
Exclusion criteria: Gallbladder perforation diagnosed preoperatively Choledocholithiasis Pregnancy Recent trauma Active malignancy Concurrent other infections or sepsis Patient on Anti-inflammatory drugs Uncontrolled systemic comorbidities Patients unwilling or withdrawing consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1)To asses the pre-operative evaluate gall bladder thickness and C-reactive protein. 2) To evaluate the association of preoperative gallbladder wall thickness (GBWT)) with operative difficulty (using Nassar criteria), operative and postoperative outcomes in patients undergoing laparoscopic cholecystectomy. 3) To evaluate the association of C-reactive protein (CRP) levels with operative difficulty (using Nassar criteria), operative and postoperative outcomes in patients undergoing laparoscopic cholecystectomy. Timepoint: Pre-op US GB wall thickness: within 7 days prior to surgery (document exact interval). Baseline CRP: within 48–72 hours prior to surgery . Follow-ups: after 7–10 days and 30 ±7 days (for post operative outcomes). | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) To determine the predictive value of combined GBWT and CRP in anticipating intraoperative complexity. 2) To analyze the correlation of GBWT and CRP levels with postoperative complications like wound infection, bile leak, jaundice. Timepoint: Pre-operative: GBWT USG within 7 days before surgery ; CRP within 24-48 hr pre-op Intra-operative: real-time recording (during surgery). Post-op Day 1 (POD1) Post-op Day 3 (POD3) Post-op Day 7 (±2 days) Post-op Day 30 (±7 days) | — |
Countries
India
Contacts
Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research