Page 39 - World Journal of Laparoscopic Surgery
P. 39

Preoperative Scoring System to Predict Difficult LC
            Table 7: Correlation between preoperative score with duration of
            surgery and duration of hospital stay
                                               Preoperative score
             Preoperative score  Pearson correlation (r)   1
                             p-value
                             N                       66
             Duration of surgery   Pearson correlation (r)  0.752
             (in minutes)    p-value               <0.001
                             N                       66
             Duration of hospital   Pearson correlation (r)  0.788
             stay            p-value               <0.001
                             N                       66


            Table 8: Intraoperative complications distribution (total number of   Fig. 8: Linear graph showing relationship between preoperative score
            patients = 66)                                     and the duration of hospital stay
                                                   Count  %
             Intraoperative   Bleeding from abdominal wall   1  1.5  Table 9: Operative outcome distribution (total number of patients = 66)
             complications  (port)
                                                                                                   Count      %
                          Bleeding from cystic artery  3  4.5
                                                                Operative outcome   Easy            39       59.1
                          Bleeding from tissues adjacent   1  1.5
                          to the gallbladder                                        Difficult       20       30.3
                          Iatrogenic perforation of the   4  6.1                    Very difficult    7      10.6
                          gallbladder
                          Spilled gallstones         2    3.0
                          Thickly adherent gallbladder  3  4.5
                          None                      52   78.8


















                                                               Fig. 9: Column diagram showing intraoperative complications and
                                                               their distribution


                                                               Table 10: Association between operative outcome and preoperative
            Fig. 7: Linear graph showing relationship between preoperative score   score (total number of patients = 66)
            and the duration of surgery                                                  Operative outcome
                                                                                  Easy       Difficult  Very difficult
            easy procedure and 3 (7.5%) had a very difficult procedure in spite
            of being predicted to be difficult.                                Count  %   Count   %   Count  %
               In total, 4 patients out of 66 were preoperatively predicted to   Pre-  Easy  36  92.3%    3  15.0%  0  0.0%
            have a very difficult cholecystectomy depending on their scores. 4   operative   Difficult    3  7.5%  17  85.0%  3  7.5%
            (100%) of patients in whom very difficult procedure was predicted   score
            preoperatively had a very difficult cholecystectomy.   grading  Very     0  0.0%    0  0.0%  4  100%
               There was a significant difference in association between   difficult
                                                                2
            operative outcome and preoperative score (Table 11, Fig. 11).   χ  = 74.52, df = 4, p <0.001*
                                                        World Journal of Laparoscopic Surgery, Volume 15 Issue 2 (May–August 2022)  135
   34   35   36   37   38   39   40   41   42   43   44