Navin  Choudhary, Javed  Hussain, Pawan kumar Meena, Vineeth  , 
    A Clinical Study to Determine Various Factors For Difficult Laparoscopic Cholecystectomy,
    Research Journal of Medical Sciences,
    Volume 17,Issue 7,
    2023,
    Pages 1049-1053,
    ISSN 1815-9346,
    10.59218\makrjms.2023.1049.1053,
    (https://makhillpublications.co/view-article.php?doi=10.59218\makrjms.2023.1049.1053)
    Abstract: <p style="text-align:justify">Laparoscopic cholecystectomy is a relatively safe procedure and very effective. To assess various preoperative predictors for difficult laparoscopic cholecystectomy. Study conducted on 80 patients aged 18 years and above at department of General surgery, Govt. R.D.B.P Jaipuria hospital (attached RUHS-CMS), Jaipur from May 2022 to October 2022 after ethical committee clearance. Patients who are undergoing laparoscopic cholecystectomy in Govt. R.D.B.P Jaipuria hospital (attached RUHS-CMS), Jaipur and consenting for participation and whose age is 18 years and above were taken into the study. The study access Randhawa score and G10 cholecystitis severity score for difficult laparoscopic cholecystectomy. Mean age of the study population is 39.74&plusmn;13.95 years, 72 (90%) patients required hospitalization. 72 participants had a score less than 5, 4 participants had score between 6, 10 and 4 had score between 11 and 15 as per Randhawa scoring system. In this study, intra-operative assessment using the G10 cholecystitis severity score predicted 15 (18.75%) patients to have easy laparoscopic cholecystectomy, 53 (66.25%) patients to be moderate, 9 (11.25%) to be difficult and 3 (3.75%) to be extremely difficult. Both Randhawa score and G10 cholecystitis severity score good positive correlation with difficulty of laparoscopic cholecystectomy.</p>

    Keywords: Gall bladder; laparoscopic cholecystectomy; randhawa score; G10 cholecystitis severity score