Accuracy of Randhawa and Pujahari Preoperative Scoring System in Prediction of Difficult Laparoscopic Cholecystectomy in Egyptian Population

Abstract

Laparoscopic cholecystectomy is the procedure of choice for management of symptomatic gallstone disease and one of the most commonly performed operations by general surgeons. Sometimes, it is difficult and takes longer time or has to be converted to an open procedure due to various difficulties faced while performing the procedure. Risk stratification of patients is important to be assessed preoperatively for better planning of surgery. Therefore scoring systems have been developed to be used for prediction of operative challenges and / or complications e.g RSCLO score, Randhawa & Pujahari score and ultrasound scoring system. Prediction of difficult operation is important to inform the high-risk groups prior to the operation so that they can make the required arrangements before surgery. It is useful for the surgeons also, in a way that time and schedule of the surgery can be managed appropriately. It could be involved in training process for residents and junior staff. This is a prospective observational study that has been conducted in department of general surgery, Ain Shams University hospitals, including (60) patients undergoing