Clinicopathological Study of Granulomatous Lymphadenitis: A Descriptive Cross-Sectional Study in a Tertiary Care Centre.

Priyanka; Babita  Chettri; Mohammad  Umar; Varun Kumar  Singh; Kumar  Nishant

doi:10.51168/sjhrafrica.v7i3.2499

Authors

Priyanka Assistant Professor, Department of General Surgery, Sikkim Manipal Institute Of Medical Sciences
Dr. Babita Chettri Assistant Professor, Department of General Surgery, Sikkim Manipal Institute Of Medical Sciences
Dr. Mohammad Umar Senior Resident, Department of General Surgery, Sikkim Manipal Institute Of Medical Sciences
Dr. Varun Kumar Singh Professor, Department of General Surgery, Sikkim Manipal Institute Of Medical Sciences
Dr. Kumar Nishant Professor and HOD, Department of General Surgery, Sikkim Manipal Institute Of Medical Sciences

DOI:

https://doi.org/10.51168/sjhrafrica.v7i3.2499

Keywords:

Cuschieri grading systems, Nassar grading systems, Laparoscopic cholecystectomy, Comparative analysis, cholelithiasis

Abstract

Background:

The most effective treatment for cholelithiasis symptoms is laparoscopic cholecystectomy. However, the intraoperative findings determine the operation difficulties. To grade operating complexity, the Cuschieri and Nassar surgical difficulty score systems are frequently employed. It may be possible to anticipate surgical difficulties and enhance perioperative planning by evaluating their correlation with operating time.

Objective:

To assess the correlation between the length of laparoscopic cholecystectomy and the Cuschieri and Nassar surgical difficulty levels.

Methods:

This observational study included patients undergoing elective laparoscopic cholecystectomy. Intraoperative findings were graded using both Cuschieri and Nassar scoring systems. Operative duration was recorded in minutes. Statistical analysis was performed to determine the correlation between difficulty scores and duration of surgery.

Results:

Longer operating times were substantially correlated with higher Cuschieri and Nassar scores (p<0.05). The length of operation and rising difficulty grades were found to be positively correlated. An increase in age was associated with longer operating times and higher difficulty scores, most likely due to adhesions, fibrosis, and chronic inflammation. The participants' mean age was 41.1±12.17 years. The mean duration of surgery increased significantly with higher difficulty scores. Both Cuschieri and Nassar scores showed a positive correlation with operative duration (p < 0.05).

Conclusion:

In laparoscopic cholecystectomy, the Cuschieri and Nassar grading systems both accurately predict surgical difficulties. The Nassar score, on the other hand, has a stronger relationship with the length of the operation and could be a more accurate indicator of operating complexity.

Recommendation:

In order to enhance operative planning, patient counseling, surgical training, and risk management, Cuschieri and Nassar's difficulty scores should be regularly implemented into clinical practice. These scores are trustworthy intraoperative predictors of operative length in laparoscopic cholecystectomy.

Author Biographies

Priyanka, Assistant Professor, Department of General Surgery, Sikkim Manipal Institute Of Medical Sciences

is an Assistant Professor in the Department of General Surgery at Sikkim Manipal Institute of Medical Sciences, India. She is actively involved in teaching undergraduate and postgraduate students and has a strong interest in minimally invasive surgery and clinical research. Her academic focus includes laparoscopic procedures and the evaluation of surgical outcomes to improve patient care.

Dr. Babita Chettri, Assistant Professor, Department of General Surgery, Sikkim Manipal Institute Of Medical Sciences

is an Assistant Professor in the Department of General Surgery at Sikkim Manipal Institute of Medical Sciences, India. She has extensive experience in general and laparoscopic surgery and is actively engaged in academic teaching and research. Her areas of interest include surgical techniques, perioperative management, and improving clinical outcomes.

Dr. Mohammad Umar, Senior Resident, Department of General Surgery, Sikkim Manipal Institute Of Medical Sciences

is a Senior Resident in the Department of General Surgery at Sikkim Manipal Institute of Medical Sciences, India. He has significant clinical exposure in both elective and emergency surgical procedures. His research interests include laparoscopic surgery, surgical scoring systems, and operative difficulty assessment.

Dr. Varun Kumar Singh, Professor, Department of General Surgery, Sikkim Manipal Institute Of Medical Sciences

is a Professor in the Department of General Surgery at Sikkim Manipal Institute of Medical Sciences, India. With vast experience in teaching and surgical practice, he specializes in laparoscopic and general surgical procedures. His academic interests include surgical education, clinical research, and improving operative efficiency.

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