@Article{, title={Evaluation of Clinical Parameters that Predict Difficulties During Laparoscopic Cholecystectomy}, author={Karam Kamal Younis and Layth Qassid Al-Harbawi and Omar Abbas Ashoor}, journal={Iraqi Postgraduate Medical Journal المجلة العراقية للاختصاصات الطبية}, volume={12}, number={2}, pages={175-180}, year={2013}, abstract={ABSTRACT: BACKGROUND: Laparoscopic cholecystectomy(LC) may be rendered ‘difficult’ by various problems encounteredduring surgery e.g accessing the peritoneal cavity, dissecting the gall bladder … etc. OBJECTIVE:To identify certain preoperative clinical parameters to predict technical difficulties during (LC) .SETTING: Surgical wards of Al-Jamhoori Teaching Hospital between October 2009 to October 2010. METHODS: A prospective analysis of150 patients who underwent (LC). Prospective analysis of differentpreoperative data including patient's age, gender, weight, height, previous abdominal surgery andprevious attack of acute cholecystitis were done. The dependent variables (outcomes) included theduration of operation, bleeding, difficult accessing, bile leak, difficult dissection of gall bladder, andconversion to open cholecystectomy. Surgeons who performed the operations had operative experienceof more than 50 (LC) RESULTS: The difficulties were met in 57(38%) patients. The mean duration of surgery was 79·83 ± 1·30 minutes.Factors contributed to difficult (LC) were; male gender, previous upper abdominal surgery and BMI >35. CONCLUSION: Preoperative clinical patient's factors including male gender, BMI > 35 and history of previous upperabdominal surgery are significant predictive preoperative parameters for difficult (LC). Knowledge ofthese parameters preoperatively can predict difficulties during (LC).

} }