Operative Difficulty Grading Scale for Laparoscopic Cholecystectomy in BPKIHS

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT04994171

Enrollment

Registered

2021-08-06

Start date

2020-07-01

Completion date

2021-06-01

Last updated

2021-08-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Laparoscopic Cholecystectomy

Keywords

Surgery, Laparoscopic, Cholecystectomy, Cholecystitis

Brief summary

The main purpose of this study is to utilize operative grading scale to predict conversion to open,complication and reintervention and validate Nassar Scale.

Detailed description

Laparoscopic cholecystectomy is the commonly performed procedure in our institute. Laparosopic cholecystectomy is high variable surgery ranging from simple routine operation to difficult surgery leading to increased morbidity and mortality. The majority of previous scores use a combination of pre-operative and operative data and were produced in studies that were limited by retrospective data, small sample sizes and lack of external validation. Very few intraoperative difficulty grading scale was published and none are widely used in clinical practice. So operative grading scale will have advantages of assisting in intra-operative strategy and planning, allowing comparison across different research studies, facilitating risk adjustment for surgical outcomes and providing an aid in training surgeons and monitoring of training progression. The main purpose of this study is to utilize operative grading scale to predict conversion to open,complication and reintervention.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

16 Years to 80 Years

Healthy volunteers

Yes

Inclusion criteria

* All patients undergoing laparoscopic cholecystectomy

Exclusion criteria

* CBD Stone * Malignancy of Extrahepatic biliary tree * Cholecystectomy as a part of other surgery

Design outcomes

Primary

Measure	Time frame	Description
Laproscopic cholecystectomy Conversion to open with Nassar Grade	30 day	Laproscopic cholecystectomy converted to open with Nassar grade ie chance of conversion to open in higher Nassar grade(difficult laparoscopic cholecystectomy)
Duration of Surgery	30 day	—
Introperative Complication with Nassar Grade	30 day	Complication like biliary spillage, stone spillage and bleeding with higher Nassar grade (difficult laparoscopic cholecystectomy)

Secondary

Measure	Time frame
Total length of stay	30 day

Countries

Nepal

Outcome results