Abstract

Background: Management of cholecystitis and its complications has evolved dramatically. The ICHBS scoring system aims to address difficult cholecystectomies and intraoperative complications by introducing an objective criteria which can standardize the difficulty levels for Laparoscopic Cholecystectomy. Aim: The present study aims at studying the role of pre-operative predictive factors along with intra-operative findings as per ICHBS scoring system and its role in decision making as per calculated difficulty level Ia, Ib, IIa, IIb, III and outcome for safe cholecystectomy procedure. Material and Methods: All the patients were operated in a single tertiary care hospital. Patients satisfying the inclusion and exclusion criteria were included in the study and they underwent laparoscopic cholecystectomy and proposed ICHBS scoring system was applied to analyse and co-relate the pre-operative factors and intra operative findings to decide the operating difficulty level (Level Ia , Ib, IIa, IIb, III) during laparoscopic cholecystectomy for gall bladder disease and comparison of the existing surgical management of gallbladder stone disease using ICHBS system versus without using any scoring criteria was done.

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