Jayme Natasha K Paggao
University of East Ramon Magsaysay Memorial Medical Center, Philippines
Title: Short-course versus long-course antibiotic therapy for complicated appendicitis: A meta-analysis
Biography
Biography: Jayme Natasha K Paggao
Abstract
Background & Aim: Laparoscopic Cholecystectomy (LC) has become the gold standard in the management of symptomatic gall bladder disease. Although it has been shown to be safe and effective, several factors cause difficulty to the operator and may increase operative time and complication rate. However, there is no established scoring system to predict the difficulty of LC in the preoperative period. The study aims to apply a scoring system that can be used pre-operatively to determine the degree of difficulty of a laparoscopic cholecystectomy procedure in the general surgery training program.
Method: There were 113 laparoscopic cholecystectomy cases performed by general surgery residents in 4 years. 8 parameters were collected based on pre-operative data, physical exam, and sonographic findings, with a maximum score of 15. A score 0-5 predicted easy, 6-10 difficult and 11-15 very difficult. Intraoperative score was based on length of procedure, complications and conversion to open procedure.
Result: 2 risk factors: age >50 years (p=0.032) and palpable gall bladder (p=0.014) are found to be statistically significant in predicting difficult LC.
Conclusion: The pre-operative scoring system is reliable with 63% sensitivity in predicting difficult LC procedure.