The main purpose of this study is to utilize operative grading scale to predict conversion to open,complication and reintervention and validate Nassar Scale.
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.
Study Type
OBSERVATIONAL
Enrollment
74
Nirmal Prasad sah
Dharān, Koshi, Nepal
Laproscopic cholecystectomy Conversion to open with Nassar Grade
Laproscopic cholecystectomy converted to open with Nassar grade ie chance of conversion to open in higher Nassar grade(difficult laparoscopic cholecystectomy)
Time frame: 30 day
Duration of Surgery
Time frame: 30 day
Introperative Complication with Nassar Grade
Complication like biliary spillage, stone spillage and bleeding with higher Nassar grade (difficult laparoscopic cholecystectomy)
Time frame: 30 day
Total length of stay
Time frame: 30 day
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