Preoperative Prediction of Difficult Laparoscopic Cholecystectomy ? A Scoring System

Laparoscopic cholecystectomy is now accepted as the new gold standard for the treatment of symptomatic gall bladder disease. The present study was conducted to look for some preoperative predictor factors that can give surgeon some idea about the potential difficulties and complications that can be encountered during the course of laparoscopic cholecystectomy that may require conversion to open cholecystectomy. The number of cases predicted to be difficult/ Very Difficult on preoperative evaluation were 22 (44 %) patients out of which 18 (36 %) were difficult/Very difficult on surgery.