Table 3 Intraoperative measure of DLC(our modified score from [18, 25, 28]
Risk factors | Score |
|---|---|
Gallbladder appearance (adhesion) | Adhesions < 50% of GB : 1 Adhesions burying GB: 3 No adhesion: 0 |
Distension/Contraction | Distended GB (or contracted shriveled 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 |
Time | Time to identify cystic artery and duct > 90 min : 1 |
Bile / stone spillage | No: 0 Yes:1 |
injury to duct or artery | No: 0 Duct only:1 Both:2 |
Conversion to open | No: 0 Yes:3 |
Ligature | Clip = 0 Stitch = 1 |
Total maximum | 16 |