Prognostic value of the ICCQ scale for the clinical management of elective laparoscopic cholecystectomy

Abstract

Objective: multiple preoperative factors can complicate elective laparoscopic cholecystectomy (LC). The clinical index of surgical complexity (ICCQ) groups these factors and gives them a score that allows estimating the surgical complexity, allowing optimizing the clinical management of cholelithiasis, therefore, this study aims to determine the diagnostic performance of the ICCQ scale in patients operated in the CMDLT of cholelithiasis by elective laparoscopic cholecystectomy, in the time between 2020 and 2021; comparing the total ICCQ with the operative time. Methods: retrospective observational study that, by obtaining data from 63 patient records, calculated the Clinical Index of Surgical Complexity (ICCQ) and its sub-indexes: clinical-surgical, age and comorbidities; to compare each variable, sub-index and total score with the operative time. Measures of position, central tendency and dispersion were calculated. Results: a higher ICCQ score was found to be associated with a surgical time of more than two hours. The cutoff point for surgical time greater than 120minutes was 5.5 points with a Sensitivity of 53% and specificity of 81%. Conclusions: a score higher than 5 in the ICCQ could allow us to estimate that laparoscopic cholecystectomies are going to have a duration longer than 2 hours and, in that sense, would allow us to optimize the surgical plans.