Predictors of Difficult Laparoscopic Cholecystectomy, Scoring Systems and Their Implications on the Outcomes , Sohag Experience.

Not Applicable

Recruiting

• Conditions: Chronic Calculous Cholecystitis
• Interventions: Procedure: laparoscopic cholecystectomy

• Registration Number: NCT05859607
• Lead Sponsor: Sohag University

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 .

Detailed Description

Not available

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study First Submitted: 2023-04-03
• Study Start: 2023-04-18
• Status Verified: 2023-05
• Study First Submitted QC: 2023-05-11
• Last Update Submitted: 2023-05-11
• Study First Posted: 2023-05-16
• Last Update Posted: 2023-05-16
• Primary Completion: 2023-10-18
• Study Completion: 2023-10-18

Recruitment & Eligibility

• Status: RECRUITING
• Sex: Male
• Target Recruitment: 50

Inclusion Criteria

• patients with symptomatic gall stones

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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.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Easy cholecystectomy	laparoscopic cholecystectomy	easy procedure with no complications
difficult cholecystectomy	laparoscopic cholecystectomy	very prolonged time , complication or conversion to open cholecystectomy .
moderate severe cholecystectomy	laparoscopic cholecystectomy	moderate severity with prolonged time or complication .

Primary Outcome Measures

Name	Time	Method
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.

Trial Locations

Locations (1)

Sohag University Hospital; 🇪🇬 Sohag, Egypt