Table 5: Sugrue G10 grading system severity (2019).
Variable |
point |
Gallbladder appearance |
3 (max) |
Adhesions < 50% of GB Adhesion > 50% of GB buried Adhesions burying GB |
1 2 3 (max) |
Distension or contraction |
3 (max) |
Distended GB (or contracted shrivelled GB) Unable to grasp with atraumatic laparoscopic forceps Stone ≥ 1 cm impacted in Hartman’s Pouch |
1 1 1 |
Access |
2 (max) |
BMI > 30 Adhesions from previous surgery limiting access |
1 1 |
Sepsis or complications |
2 (max) |
Free bile or Pus outside the GB Fistula |
1 1 |
Total max |
10 |
Degree of Difficulty: SD Grade 1 Mild SD Grade 2 Moderate SD Grade 3 Severe SD Grade 4 Extremely |
< 2 2-4 5-7 8-10 |