Utilisation of an operative difficulty grading scale for laparoscopic ...
Jun 28, 2018 · On multivariable analysis, the Nassar operative difficultly scale was found to be a significant independent predictor of operative duration, conversion to open surgery, 30-day complications and 30-day reintervention (all p < 0.001).
Intraoperative findings of the gallbladder, cystic pedicle, and any associated adhesions were graded using this scale (Table 1). This grading system is intended to be applied as an overall description of the operative conditions detected, and the …
Conclusion: Nassar operating scale is simple scale that can be used by all level of surgeons to predict dificult laparoscopic cholecystectomy. Rising grades have significant correlation with dificulty and complications. Key words: Cholecystectomy; Cholecystitis; Laparoscopic; Nassar …
Nassar grades of operative difficulty (Grade 1-4 and 5): Based on GB anatomy, cystic pedicle, adhesions with surroundings, no of stones, fistulas with surrounding structures and Mirrizi’s anatomy Grade 1 Gall bladder-Floppy, non-adherent. Cystic pedicle-Thin and clear. Adhesions-Simple up to the neck/Hartmann’s pouch. Grade 2
The Nassar Scale as an Instrument for Predicting Conversionof ...
Jan 29, 2024 · The Nassar scale was used to assess the complexity of laparoscopic cholecystectomy, incorporating parameters such as ‘Gallbladder,’ ‘Cystic pedicle,’ and ‘Adhesions’ to determine a final score ranging from 1 to 5.
(PDF) Utilisation of an operative difficulty grading scale for ...
Jun 28, 2018 · On multivariable analysis, the Nassar operative difficultly scale was found to be a significant independent predictor of operative duration, conversion to open surgery, 30-day complications and...
Nassar operative grade and ultrasonography prediction for …
May 28, 2021 · Results: Difficult cholecystectomy was anticipated with USG parameters in 20 cases, and Nassar operative grading of difficulty (Grade-3, 4 and 5) predicted in 13 cases; the latter was correlated with conversion to open methods. p<0.05 in USG parameters and Nassar grading of operative difficulty was considered significant.
Intraoperative Scoring System to Assess the Difficult Laparoscopic ...
A preoperative scoring or grading system (based on age, sex, history, clinical examination, laboratory, and sonographic results), developed by Nassar et al., in 2020 was used, and based on scores the patients were graded into three categories i.e., Low risk (<2); Intermediate risk (2-6), and High risk (7-19) (Table 1). In our study, the ...
Nassar grading scale for operative findings from the gallbladder ...
Gallstones affect 20% of the Western population and will grow in clinical significance as obesity and metabolic diseases become more prevalent. Gallbladder removal (cholecystectomy) is a common...
Utilisation of an operative difficulty grading scale for laparoscopic ...
Jun 28, 2018 · On multivariable analysis, the Nassar operative difficultly scale was found to be a significant independent predictor of operative duration, conversion to open surgery, 30-day complications and 30-day reintervention (all p < 0.001).