Preoperative Prediction of difficult Laparoscopic Cholecystectomy using Randhawa and Pujahari Scoring System for Acute Cholecystitis, the Optimal Time for Surgery
Amer, Y., Refaat, M., Al-Dmairy, M. (2025). Preoperative Prediction of difficult Laparoscopic Cholecystectomy using Randhawa and Pujahari Scoring System for Acute Cholecystitis, the Optimal Time for Surgery. EKB Journal Management System, 2025(3), 202-207. doi: https://doi.org/10.21608/aimj.2025.446488
Yasser Ahmad Amer; Mostafa Khairy Refaat; Muhammad Ramzy Bassuony Al-Dmairy. "Preoperative Prediction of difficult Laparoscopic Cholecystectomy using Randhawa and Pujahari Scoring System for Acute Cholecystitis, the Optimal Time for Surgery". EKB Journal Management System, 2025, 3, 2025, 202-207. doi: https://doi.org/10.21608/aimj.2025.446488
Amer, Y., Refaat, M., Al-Dmairy, M. (2025). 'Preoperative Prediction of difficult Laparoscopic Cholecystectomy using Randhawa and Pujahari Scoring System for Acute Cholecystitis, the Optimal Time for Surgery', EKB Journal Management System, 2025(3), pp. 202-207. doi: https://doi.org/10.21608/aimj.2025.446488
Amer, Y., Refaat, M., Al-Dmairy, M. Preoperative Prediction of difficult Laparoscopic Cholecystectomy using Randhawa and Pujahari Scoring System for Acute Cholecystitis, the Optimal Time for Surgery. EKB Journal Management System, 2025; 2025(3): 202-207. doi: https://doi.org/10.21608/aimj.2025.446488

Preoperative Prediction of difficult Laparoscopic Cholecystectomy using Randhawa and Pujahari Scoring System for Acute Cholecystitis, the Optimal Time for Surgery

Al-Azhar International Medical Journal
Volume 2025, Issue 3, March 2025, Page 202-207  XML PDF (500.22 K)
Document Type: Original Article
DOI: https://doi.org/10.21608/aimj.2025.446488
View on SCiNiTO View on SCiNiTO
Authors
Yasser Ahmad Amer1; Mostafa Khairy Refaat2; Muhammad Ramzy Bassuony Al-Dmairy* 3
1Professor of General Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
2Lecturer of General Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
3MBBCh, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
Abstract
Background: In chronic calculous cholecystitis and acute calculous cholecystitis, laparoscopic cholecystectomy (LC) is the surgical treatment of choice for gallstone symptoms. However, for a variety of reasons, some patients need to be converted to open surgery. Predicting "difficult laparoscopic cholecystectomy" in advance of surgery during acute attacks could help improve patient safety and lower therapy costs.
Aim and objectives: In order to determine how well the Randhawa and Pujahari preoperative grading system predicts challenging laparoscopic procedures for patients with acute cholecystitis.
Subjects and methods: The general surgery department at Al-Azhar University Hospitals undertook prospective observational research. From November 2023 to December 2024, 30 patients with acute cholecystitis underwent LC at the Cairo Fatemic hospitals. Based on the patient's history, physical exam, and radiological findings, a scoring system developed by Randhawa and Pujahari was assigned the day prior to the procedure.
Results: The Kruskal-Wallis test showed a statistically significant relationship between the intraoperative difficulty evaluation and the preoperative difficulty score, with a mean of 2.4±1.4 for easy status and 6.6±3.4 for difficult status, and a p-value of 0.001 for both.
Conclusion: Acute cholecystitis LC difficulty can be assessed using the valid Ranhawa and Pujahari rating system.
 
 
Keywords
Acute cholecystitis; Laparoscopic cholecystectomy; Pujahari score; Randhawa score
Statistics
Article View: 1