Scholarlink

<p>Laparoscopic cholecystectomy is the standard treatment for symptomatic gallstone disease, but a difficult procedure increases the risk of biliovascular injuries. Accurate preoperative prediction of surgical complexity can help improve planning, prioritization, and resource management. This study evaluated the preoperative traffic light scoring system as a reliable predictor of surgical difficulty during laparoscopic cholecystectomy. Patients scheduled for laparoscopic cholecystectomy from February 2022 to January 2025 had their intraoperative difficulty risk scored preoperatively with the traffic light scoring system. Intraoperative difficulty of the procedure was assessed and scored with the Nassar cholecystectomy difficulty scoring system. Correlation analyses assessed the traffic light score’s relationship with multiple perioperative variables. A total of 353 patients underwent laparoscopic cholecystectomy during the study period. The ages ranged from 20 to 96 (median 51), and surgery duration spanned 25 to 210&#xa0;min (median 71). The traffic light preoperative difficulty score strongly correlated with the Nassar intraoperative difficulty score (correlation coefficient = 0.595, 95% CI 0.523–0.658, <i>p</i> &lt; 0.001; AUC 0.797). Significant correlations were also found with surgery duration (Pearson = 0.199, <i>p</i> &lt; 0.001) and hospital stay length (Pearson = 0.185, <i>p</i> &lt; 0.001). No significant link existed between the traffic light score and preoperative hospital admissions for gallstone symptoms (Pearson = 0.098, <i>p</i> = 0.067). The traffic light difficulty scoring system is a reliable model for preoperative prediction of complexities of cholecystectomy, and is useful for preoperative planning, patient preparation, resource allocation and better management of theatre sessions.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Red, amber, green: how the traffic light system predicts surgical challenges in laparoscopic cholecystectomy for gallstone disease

  • 期刊论文

  • 发表日期：

    2026年1月5日

查看全文
  • Abraham Abiodun Ayantunde,
  • Andrew Chiagozie Ekwesianya,
  • Abraham Jesudoss

摘要

Laparoscopic cholecystectomy is the standard treatment for symptomatic gallstone disease, but a difficult procedure increases the risk of biliovascular injuries. Accurate preoperative prediction of surgical complexity can help improve planning, prioritization, and resource management. This study evaluated the preoperative traffic light scoring system as a reliable predictor of surgical difficulty during laparoscopic cholecystectomy. Patients scheduled for laparoscopic cholecystectomy from February 2022 to January 2025 had their intraoperative difficulty risk scored preoperatively with the traffic light scoring system. Intraoperative difficulty of the procedure was assessed and scored with the Nassar cholecystectomy difficulty scoring system. Correlation analyses assessed the traffic light score’s relationship with multiple perioperative variables. A total of 353 patients underwent laparoscopic cholecystectomy during the study period. The ages ranged from 20 to 96 (median 51), and surgery duration spanned 25 to 210 min (median 71). The traffic light preoperative difficulty score strongly correlated with the Nassar intraoperative difficulty score (correlation coefficient = 0.595, 95% CI 0.523–0.658, p < 0.001; AUC 0.797). Significant correlations were also found with surgery duration (Pearson = 0.199, p < 0.001) and hospital stay length (Pearson = 0.185, p < 0.001). No significant link existed between the traffic light score and preoperative hospital admissions for gallstone symptoms (Pearson = 0.098, p = 0.067). The traffic light difficulty scoring system is a reliable model for preoperative prediction of complexities of cholecystectomy, and is useful for preoperative planning, patient preparation, resource allocation and better management of theatre sessions.