The Prospective Analysis of Pre Operative Prediction of Difficult Laparoscopic Cholecystectomy

Background: Predicting the difficulty of laparoscopic cholecystectomy (LC)preoperatively is pivotal in reducing complications and improving patient outcomes.This study examines clinical, biochemical, and imaging factors contributing tochallenging LC cases, aiming to develop a predictive model for better surgicalplanning. Methods: A prospective study involving 60 patients with symptomaticgallstone disease was conducted at Krishna Mohan Medical College, Mathura.Preoperative parameters such as demographic data, laboratory findings, andultrasonographic features were analyzed in relation to intraoperative outcomes,including conversion rates and complications. Results: Gallbladder wall thickness,pericholecystic fluid, and WES (wall-echo-shadow) sign were significantly associatedwith difficult surgeries (p<0.05). Male gender was also correlated with higherconversion rates. Thirteen percent of cases required conversion to opencholecystectomy. Conclusion: Identifying high-risk factors like gallbladder wallthickness, pericholecystic fluid, and WES sign preoperatively can enhance surgicalplanning and mitigate complications. Tailored strategies are recommended for bettermanagement of challenging cases.