Chronic Calculous Cholecystitis
Conditions
Brief summary
laparoscopic cholecystectomy nowadays is the most common surgery done by General surgery surgeons , so it is necessary to evaluate the difficulty of each case prior to surgery and from the first look ,to avoid complications and improve outcomes , so scoring systems are needed for better assessment of the overall condition and make good decision .
Interventions
PROCEDURElaparoscopic cholecystectomy
conventional laparoscopic cholecystectomy with calculation of difficulty scorings
Sponsors
Sohag University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
MALE
Age
15 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* patients with symptomatic gall stones
Exclusion criteria
* lap to open conversion due to equipment failure pregnancy common bile duct stone obstructive jaundice unfit for general anesthesia patients refusing lap cholecystectomy.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Validation and applicability of scoring systems | 6 months | the scoring system should reach high percentage to be applicable and could be used for scoring difficulty.A comparison between preoperative score and intraoperative score, then the success of a scoring system is by the high percentage sensitivity ,preoperative data sheet will be taken from all patients ,then the first look intraoperative will judge the score through multiple items , the cross matching will be done between the two scores. and to measure the results,There are many scoring system for example Randawa preoperative and intraoperative score , Nassar preoperative and intraoperative score ,matching the result of both preoperative and intraoperative will be done to validate each one. Randawa score classified into easy and moderate and severe difficulty based on time lapsed during cholycystectomy ,intraoperative problems and complications Nassar uses the intraoperative shape of gall bladder to classify the difficulty from 1 to 5 grades upon the first look to the gall bladder. |
Countries
Egypt
Contacts
Primary ContactMahmoud F Mahmoud, resident
Backup ContactAlaa A Radwan, professor
Outcome results
None listed