[Surgical Complexity Classification Index (SCCI): a new patient classification system for clinical management of laparoscopic cholecystectomy].
OBJECTIVE
To devise a classification system of patients subjected to elective laparoscopic cholecystectomy (LC) which will enable the degree of surgical difficulty and possible time in surgery to be correlated with clinical, ultrasound, associated comorbidity and age group variables.


METHODS
A prospective observational study of 110 patients subjected to LC in which the SCCI (Surgical Complexity Classification Index) had been calculated. The SCCI was worked out from previous studies published on patient classification systems and complication predictive factors in patients subjected to LC.


METHODS
surgical technique difficulty score, length of surgical time, post-operative stay (ambulatory).


RESULTS
The cut-off value that obtained a better classification of the patients was an SCCI > in whom the technique difficulty score was 13.2 +/- 3.6 and the duration of the surgery 51.9 +/- 31 compared with the SCCI < 5 subgroup, technical difficulty score 10.5 +/- 2.8 and the duration of the surgery 6.9 +/- 11.4 (p < 0.05).


CONCLUSIONS
The SCCI enables the technical complexity of LC to be estimated and therefore appropriate risk management in the LC process together with improved clinical management of that process.
Planells Roig
Manuel
M
Servicio de Cirugía, Instituto de Cirugía General y del Aparato Digestivo (ICAD), Clínica Quirón, Valencia, Spain. planells_mvi@gva.es
Cervera Delgado
María
M
Bueno Lledó
José
J
Sanahuja Santaf
Amparo
A
Garcia Espinosa
Rafael
R
Carbó Lopez
Juan
J
D000328:Adult; D000368:Aged; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010361:Patients / Q000145:classification*; D011446:Prospective Studies