Southampton Laparoscopic Liver Difficulty Score predicts intraoperative complications during laparascopic liver resection
This comprehensive scoring system, based on patient, surgical and tumour factors, and developed and validated using a large multicentre European database, helped estimate the risk of intraoperative complications.
Research authors: M.C. Halls, G. Berardi, F. Cipriani, L. Barkhatov, P. Lainas, S. Harris, M. D'Hondt, F. Rotellar, I. Dagher, L. Aldrighetti, R.I. Troisi, B. Edwin, M. Abu Hilal
Version: 1.8
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Risk of intraoperative complications during laparoscopic resection is: %

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Intraoperative complications as described in the modified Satava classification:

Grade I:

  • Incidents managed without change in operative approach and without further consequences for the patient. This includes minor injury to adherent or adjacent organs and minimal change to intraoperative tactics and procedures with blood loss over the normal range. (e.g. blood loss over 775 ml)
Grade II:
  • Incidents with further consequences for the patient. This includes patients requiring limited resection of organs injured during surgery. For laparoscopic surgery, it includes intraoperative incidents requiring conversion to open operation
Grade III:
  • Incident leading to significant consequenes for the patient

Scores 0 - 2 (0.5% - 6.1% risk) are low risk
Scores 3 - 5 (9.9% - 20% risk) are moderate risk
Scores 6 - 9 (26.2% - 47.6% risk) are high risk
Scores 10 - 15 (54.7% - 80.2% risk) are extremely high risk and should not be considered outside of world leading centres.

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