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Table 1 Intraoperative measure of DLC (as a standard Michael Sugrue criteria was taken [28])

From: Validation of preoperative predictor score for difficult laparascopic cholecystectomy and a modified intraoperative grading score of the difficulty of laparascopic cholecystectomy: from a resource limited setting

Risk factors

Score

Gallbladder appearance

(adhesion)

Adhesions < 50% of GB : 1

Adhesions burying GB: 3

No adhesion: 0

Distension/Contraction

Distended GB (or contracted shrivelled GB): 1

Unable to grasp with atraumatic laparoscopic forceps: 1

Stone ≥ 1 cm impacted in Hartman’s Pouch : 1

No distension/contraction of GB = 0

BMI > 30

<=30:0

> 30:1

Adhesions from previous surgery limiting access

No:0

Yes:1

Bile or Pus outside GB

No:0

Yes:1

Time

Time to identify cystic artery and duct > 90 min : 1

Total maximum

10