الفهرس 
Surgical Anatomy of the Biliary TreeOnly 14 pages are availabe for public view
 |  | from | 115 |  |  |
| | | from | 115 | | |
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 elective laparoscopic cholecystectomy for symptomatic gall stones disease. The scoring system used was of Randhawa and Pujahari, based on history, clinical examination and radiological finding.
Results showed that the scoring system is reliable to be used in Egyptian patient with sensitivity 77.78 % and specificity 95.12 %.