Evaluation of Laparoscopic Cholecystectomy Difficulty During the COVID-19 Pandemic Using Externally Validated Prediction Models: A Retrospective Cohort Study

Authors

  • Kedarnath Panda Senior Medical Officer, Department of General Surgery, Nehru Satabdi Central Hospital, Talcher, Odisha, India
  • Suraj Kumar Bhoi Senior Resident, Department of General Surgery, Bhima Bhoi Medical College & Hospital, Balangir, Odisha, India
  • Anuj Saxena Senior Resident, Department of General Surgery, SLN Medical College and Hospital, Koraput, Odisha, India

DOI:

https://doi.org/10.51168/sjhrafrica.v5i6.1257

Keywords:

Laparoscopic cholecystectomy, COVID-19 pandemic, Operative difficulty, Prediction models

Abstract

Background: The COVID-19 pandemic has posed significant challenges to surgical procedures, including laparoscopic cholecystectomy. Assessing the difficulty of these surgeries during the pandemic is crucial for optimizing outcomes and resource allocation. This study aims to evaluate the difficulty of laparoscopic cholecystectomy during the COVID-19 pandemic using externally validated prediction models.

Methods: A total of 120 patients who underwent laparoscopic or open cholecystectomy were included. The CholeS and Randhawa scoring systems were used to predict operative difficulty. Data on demographics, clinical presentation, laboratory results, and surgical outcomes were collected and analyzed using SPSS version 21.0.

Results: The mean age of patients was 45.3 years, with 48.3% male and 51.7% female. The mean CholeS score was 8.5, and the mean Randhawa score was 7.1. Operative difficulty was classified as easy (33.3%), difficult (54.2%), and very difficult (12.5%). Significant correlations were found between higher preoperative scores and increased operative difficulty, longer operation duration, and higher complication rates. Odds ratios for CholeS and Randhawa scores predicting operative difficulty were 1.25 (95% CI: 1.12-1.39) and 1.30 (95% CI: 1.15-1.45), respectively.

Conclusion: Externally validated prediction models effectively assess the difficulty of laparoscopic cholecystectomy during the COVID-19 pandemic. Higher preoperative scores were associated with increased operative challenges and complications.

Recommendations: Preoperative risk stratification using the CholeS and Randhawa scores should be integrated into clinical practice to improve surgical planning and patient outcomes. Further prospective studies with larger sample sizes are recommended to confirm these findings.

Author Biography

Suraj Kumar Bhoi, Senior Resident, Department of General Surgery, Bhima Bhoi Medical College & Hospital, Balangir, Odisha, India

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Published

2024-06-30

How to Cite

Panda, K. ., Bhoi, S. K., & Saxena, A. . (2024). Evaluation of Laparoscopic Cholecystectomy Difficulty During the COVID-19 Pandemic Using Externally Validated Prediction Models: A Retrospective Cohort Study. Student’s Journal of Health Research Africa, 5(6). https://doi.org/10.51168/sjhrafrica.v5i6.1257

Issue

Section

Section of Anesthesia and Surgery Research