Predicting operative difficulty of laparoscopic cholecystectomy in patients with acute biliary presentations.

ABSTRACT: BACKGROUND:Early laparoscopic cholecystectomy (LC) is advocated in patients with an acute biliary presentation but may require some precaution. We aimed to assess the intra-operative difficulty of cholecystectomy in patients who underwent early intervention, and to establish a prediction model for a 'complicated' LC. METHODS:Retrospective analysis of prospectively collected data from patients presenting to the emergency department with acute biliary symptoms, and who subsequently underwent early LC between 2015 and 2018. Operative difficulty was assessed by standardized grading of intra-operative findings (grades 1-4). Pre-operative predictors for a 'complicated' LC (grades 3/4) were assessed using univariable and multivariable logistic regression analysis. A prediction model was created u

SUBMITTER: Wennmacker SZ 

PROVIDER: S-EPMC6899702 | biostudies-literature | 2019 Nov

REPOSITORIES: biostudies-literature