Table 1: The surgical difficulty score of operative findings of Gall-bladder (GB), Calot’s triangle, GB bed.
|
Operative findings |
Grade of inflammation (0-3)* |
Score |
|
Appearance of GB |
1. Adhesion: None to diffuse |
0-3 |
|
2. Edema and necrosis: None to severe |
0-3 |
|
|
3. Contracted and fibrosis: None to severe |
0-3 |
|
|
Calot’s triangle |
4. Edema: None to severe |
0-3 |
|
5. Fibrosis: None to severe |
0-3 |
|
|
6. Scarring: None to severe |
0-3 |
|
|
Gallbladder bed |
7. Edema and necrosis: None to severe |
0-3 |
|
8. Fibrosis: None to severe |
0-3 |
|
|
9. Scarring: None to severe |
0-3 |
|
|
Additional difficulty |
10. Gangrene of GB |
0-3 |
|
11. GB fistula |
0-3 |
|
|
12. Impacted gallstone in cystic duct (Mirizzi’s syndrome) |
0-3 |
SD-Grade 1: Score 0-3, easy procedure, SD-Grade 2: Score 4-12, moderate, SD-Grade 3: Score > 13, severe difficulty.