To Assess the Validity of Preoperative Scoring System in Difficult Laparoscopic Cholecystectomy

Background: Laparoscopic cholecystectomy (LC) is the gold standard treatment for cholelithiasis. Furthermore, in comparison to traditional open cholecystectomy, laparoscopic cholecystectomy offers minimal invasive technique, reduced postoperative pain, quicker recovery, an earlier return of bowel function, and a shorter hospital stay.Various Scoring system are used to determine the pre operative predictability of difficult laparoscopic cholecystectomy . These Studies include multiple patient related factors to conclude with result. Conclusion : In our study done at Sri Guru Ramdass University of health sciences and research we took 100 cases and predicted the difficulty score on the basis of Randhawa and Pujahari scoring system and compared the scores with the surgical outcome whether it was easy or difficult laparoscopic surgery. In our study while assessing the validity of Randhawa and Pujahari scoring system positive predictive value came 90% and negative predictive value of 86.6% with sensitivity and specificity of 81.82% and 92.86%