A nomogram to predict conversion of laparoscopic surgery to laparotomy for Choledocholithiasis
Yitao Zheng, Haoyang Lv, Zhuoqun Lin, Hongqi Shi, Xiaming Huang · 2023
Read A nomogram to predict conversion of laparoscopic surgery to laparotomy for Choledocholithiasis by Yitao Zheng, Haoyang Lv, Zhuoqun Lin, Hongqi Shi, Xiaming Huang (2023) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-10709908.txt.
Description
Some gallstone operations start as keyhole surgery and must switch to open surgery, usually because inflammation or anatomy turns dangerous midway. Yicheng Chen and team built a risk score from five years of cases at two hospitals so the team can see that risk before the first incision. Their analysis kept the drivers that predict a switch: how sick the patient is overall, whether an abdominal drain was placed, the bilirubin and albumin levels, and details from the ultrasound scan.
The score, drawn as a nomogram, splits patients into risk bands that matched real outcomes well. Most cases stay laparoscopic and go fine; the danger concentrates in the high risk band, where hardened tissue and distorted anatomy hide the safe planes. Knowing the band before starting lets the team book a longer room and brief the patient on the open option, with the call resting on numbers rather than bravado.
Catalog record
| CREATOR | Yitao Zheng, Haoyang Lv, Zhuoqun Lin, Hongqi Shi, Xiaming Huang |
|---|---|
| YEAR | 2023 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 39 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |