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