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Original Article | General Surgery | Volume 15 Issue 3, March 2026 | Pages: 757 - 760 | India
To Evaluate the Efficacy of Intra-Operative G10 Scoring to Predict Conversion of Laparoscopic to Open Cholecystectomy
Abstract: Background: Conversion from laparoscopic to open cholecystectomy remains an important indicator of operative difficulty and adverse outcomes. An objective intraoperative scoring system may assist surgeons in predicting conversion and planning timely bailout strategies. Aim: To evaluate the efficacy of intra-operative G10 scoring in predicting conversion of laparoscopic to open cholecystectomy. Methods: This prospective observational study included 50 patients undergoing elective laparoscopic cholecystectomy. Intraoperative G10 scoring was applied in real time based on gallbladder appearance, adhesions, distension, access factors, and sepsis-related findings. Patients were stratified into easy, moderate, difficult, and extremely difficult categories. Outcomes analyzed included conversion to open surgery, operative time, postoperative hospital stay, major complications, and readmission. Statistical analysis was performed using SPSS version 25. Results: The overall conversion rate was 18.0%. Conversion increased significantly with higher G10 categories, reaching 100% in extremely difficult cases (p < 0.001). Mean operative time increased from 51.5 ± 11.2 minutes in easy cases to 156.7 ± 21.1 minutes in extremely difficult cases (p < 0.001). Hospital stay also showed a stepwise rise from 2.1 ± 0.7 days in easy cases to 8.0 ± 1.0 days in extremely difficult cases (p < 0.001). ROC analysis demonstrated excellent predictive accuracy of the G10 score with an AUC of 0.92, sensitivity of 88.9%, specificity of 87.8%, and optimal cut-off ≥5. Conclusion: The intraoperative G10 scoring system is a reliable and reproducible predictor of conversion and perioperative outcomes in laparoscopic cholecystectomy. Early identification of high-risk cases can improve surgical planning and patient safety.
Keywords: G10 score, laparoscopic cholecystectomy, conversion, operative difficulty, predictive scoring
How to Cite?: Dr. Rajat Gaurav Singh, Dr. Amit Agarwal, Dr. Shaleen Jain, "To Evaluate the Efficacy of Intra-Operative G10 Scoring to Predict Conversion of Laparoscopic to Open Cholecystectomy", Volume 15 Issue 3, March 2026, International Journal of Science and Research (IJSR), Pages: 757-760, https://www.ijsr.net/getabstract.php?paperid=SR26309213906, DOI: https://dx.dx.doi.org/10.21275/SR26309213906