Study on the Predictive Factors for Difficult Laparoscopic Cholecystectomy

Background Laparoscopic cholecystectomy is one of the most common operations performed by general surgeon. This study was performed to evaluate the factors of difficult laparoscopic cholecystectomy preoperatively. Methods The study was carried out in Silchar Medical College& Hospital, Assam, a tertiary care center. In present study we included 100 patients of cholecystitis on the basis of history, clinical examinations and USG findings and they underwent laparoscopic cholecystectomy during the period of September 2014 to September 2015. These all patients were evaluated for a group of risk factors preoperatively and operation time and conversion to open was evaluated depending on certain factors. Results The preoperative parameters that significantly predicted difficult laparoscopic cholecystectomy are based on the clinical criterion of presence of local signs of cholecystitis, male gender, hypertension, diabetes mellitus, ASA PS II in addition to ultrasonographic criteria of liver fibrosis, large solitary stones, thick wall and contracted gall bladder. Conclusions Clinical and ultrasonographic findings may help predict difficult LC.