An opportunity in difficulty: Japan–Korea–Taiwan expert Delphi consensus on surgical difficulty during laparoscopic cholecystectomy
- Affiliated Author(s)
- 안근수
- Alternative Author(s)
- Ahn, Keun Soo
- Journal Title
- Journal of Hepato-Biliary-Pancreatic Sciences
- ISSN
- 1868-6974
- Issued Date
- 2017
- Keyword
- Acute cholecystitis; Delphi consensus; Laparoscopic cholecystectomy; Surgical difficulty
- Abstract
- Background We previously identified 25 intraoperative findings during laparoscopic
cholecystectomy (LC) as potential indicators of surgical difficulty per nominal group
technique. This study aimed to build a consensus among expert LC surgeons on the
impact of each item on surgical difficulty.
Methods Surgeons from Japan, Korea, and Taiwan (n = 554) participated in a Delphi
process and graded the 25 items on a seven-stage scale (range, 0–6). Consensus was
defined as (1) the interquartile range (IQR) of overall responses ≤2 and (2) ≥66% of
the responses concentrated wi thin a median 1 after stratification by workplace and
LC experience level.
Results Response rates for the first and the second-round Delphi were 92.6% and
90.3%, respectively. Final consensus was reached for all the 25 items. ‘Diffuse
scarring in the Calot’s triangle area’ in the ‘Factors related to inflammation of the
gallbladder ’ category had the strongest imp act on surgical difficulty (median, 5; IQR,
1). Surgeons agreed that the surgical difficulty increases as more fibrotic change and
scarring develo p. The median point for each item was set as the difficulty score.
Conclusions A Delphi consensus was reached among expert LC surgeons on the
impact of intraoperative findings on surgical difficulty.
- 공개 및 라이선스
-
- 파일 목록
-
Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.