Predictive Ultrasonographic Factors for Difficult Laparoscopic Cholecystectomy: A Cross-Sectional Study

Abstract

Background: Laparoscopic cholecystectomy (LC) is a commonly performed procedure for gallbladder diseases, yet some cases present significant challenges. Identifying predictive factors for difficult laparoscopic cholecystectomy using ultrasonographic criteria can aid in preoperative planning.

Objective: This study aims to evaluate the predictive factors for difficult laparoscopic cholecystectomy, focusing on ultrasonographic findings.

Materials and Methods: A cross-sectional study was conducted in the Department of Surgery at a tertiary care hospital, involving 120 patients undergoing laparoscopic cholecystectomy. Patients were assessed preoperatively using ultrasound to identify predictive criteria, including gallbladder wall thickness, presence of gallstones, and other anatomical variations. Intraoperative difficulties were recorded and correlated with the ultrasound findings.

Results: The analysis revealed significant correlations between increased gallbladder wall thickness, the presence of multiple gallstones, and difficult laparoscopic cholecystectomy. The majority of patients with intraoperative complications had preoperative ultrasonographic features that indicated difficulty.

Conclusion: The study identified key ultrasonographic criteria that can predict difficult laparoscopic cholecystectomy. These findings can assist surgeons in preoperative assessment and planning.

Keywords: Laparoscopic cholecystectomy, ultrasonographic criteria, predictive factors, gallbladder disease, surgical complications.