Accuracy of Randhawa and Pujahari Preoperative Scoring System in Prediction of Difficult Laparoscopic Cholecystectomy in Egyptian Population

The Nassar Scale as an Instrument for Predicting Conversionof Laparoscopic to Open Cholecystectomy

“…Gupta et al 9 defined surgeries as difficult if it took more than 60 minutes to complete the cholecystectomy, which is consistent with our findings, suggesting that the longer duration of surgery correlates with higher Nassar grades. Kemal et al 10 used the duration of the operation to classify the severity of cholecystectomy, dividing these operations into "difficult" and "very difficult" according to the duration of the cholecystectomy and complicating factors. Our research supports the use of the duration of surgery as a relevant indicator of the severity of laparoscopic cholecystectomy, since the longer duration of surgery correlates with higher Nassar grades.…”

“…Emergency patients had significantly higher Nassar grades compared to patients undergoing elective surgery. While no studies comparing Nassar grade levels based on the type of surgical indication for cholecystectomy were found, previous research indicated a potential connection between complications during laparoscopic cholecystectomy and variations in C-reactive protein (CRP) levels, with notable discrepancies in CRP values and conversion criteria across different studies1 [1][2][3][4][5][6][7][8][9][10][11][12][13][14] . While our study did not specifically investigate the relationship between CRP levels and conversion, this aspect warrants attention in future research to understand better how CRP may be linked to the Nassar scale.…”