Clinico-Radiological Factors Associated with Difficult Laparoscopic Cholecystectomy: A Prospective Study

Abstract

Aim: To identify clinical and radiological factors predictive of difficult laparoscopic 
cholecystectomy.
Background: Preoperative assessment is crucial for predicting surgical difficulty in 
laparoscopic cholecystectomy, optimizing surgical planning, and improving patient outcomes.
Methods: A prospective observational study was conducted on 90 patients undergoing elective 
laparoscopic cholecystectomy at a single institution. Clinical and radiological data, including 
demographics, medical history, laboratory findings, and ultrasound results, were collected. A 
predictive scoring system for surgical difficulty was developed, ranging from 0 (easy) to 15 
(very difficult). Data were analyzed using IBM SPSS Stats 25.0.