Best Laparoscopic Surgery in india

 BIMAST is a premier training institute in India offering specialized medical training courses and fellowship program to doctors in certain medical disciplines - Best Laparoscopic Surgery in india

Introduction The laparoscopic cholecystectomy (LC) is one of the most frequent laparoscopic surgeries carried out by general surgeons worldwide. Planning a laparoscopic surgery involves many different factors, including estimating the risk of conversion or the complexity of the procedure beforehand. Our study's goal was to evaluate several risk factors and apply a score system to preoperatively estimate the complexity and degree of the operation. 

Materials The Department of Surgery at Lady Hardinge Medical College and the nearby Dr. Ram Manohar Lohia Hospital in Delhi, India, conducted this prospective study. Old age, male sex, hospitalisation history, obesity, scars from prior abdominal surgeries, palpable gall bladders, thick gall bladder walls, pericholecystic collections, and impacted stones were the factors taken into account in the preoperative scoring procedure. The study involved 210 patients altogether.

Results We discovered that the likelihood of a difficult laparoscopic cholecystectomy was statistically significantly influenced by past hospitalisation, palpable gall bladder, impacted stones, and gall bladder wall thickness. This preoperative scoring method's sensitivity and specificity were determined to be 95.74% and 73.68%, respectively. For easy and challenging instances, respectively, this scoring technique had positive prediction values of 90% and 88%. The 0.86 area under the ROC curve. Laparoscopic to open cholecystectomy conversion rate was discovered to be 4.28%. 

Conclusion Accurate prediction can help high-risk patients learn in advance how likely they are to convert, giving them the opportunity to make plans accordingly. On the other hand, surgeons may also need to properly plan the operation's time and personnel. The potential complications that can develop in high risk patients can also be known to surgeons. 


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