Abstract
The aim of the study was to identify the predictors of difculty in laparoscopic cholecystectomy. Preoperative risk assessibility would be useful for informing patients and a more experienced surgical team could be assembled when risk for conversion appears signicant. In this study, time taken for the surgery, biliary/stone spillage, injury to duct/artery or conversion to open cholecystectomy was noted. In this study we concluded that BMI>27.5, history of prior hospitalization, palpable gallbladder, impacted stone and pericholecystic uid collection were signicant predictors of difcult laparoscopic cholecystectomy. Positive predictive value for easy prediction was 90.0% and for difcult prediction was 70.6%
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