Retrospective Cohort Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Oct 27, 2024; 16(10): 3133-3141
Published online Oct 27, 2024. doi: 10.4240/wjgs.v16.i10.3133
Development of a novel difficulty scoring system for laparoscopic liver resection procedure in patients with intrahepatic duct stones
Bo Luo, Si-Kai Wu, Ke Zhang, Pei-Hong Wang, Wei-Wei Chen, Ning Fu, Zhi-Ming Yang, Jing-Cheng Hao
Bo Luo, Si-Kai Wu, Ke Zhang, Wei-Wei Chen, Ning Fu, Zhi-Ming Yang, Department of Hepatobiliary and Vascular Surgery, The First Affiliated Hospital of Chengdu Medical College, Chengdu 610500, Sichuan Province, China
Pei-Hong Wang, Department of General Surgery, The Western Theater Command General Hospital, Chengdu 610500, Sichuan Province, China
Jing-Cheng Hao, Department of Hepatobiliary and Pancreatic Surgery, Clinical Medical College and The First Affiliated Hospital of Chengdu Medical College, Chengdu 610500, Sichuan Province, China
Co-first authors: Bo Luo and Si-Kai Wu.
Author contributions: Luo B and Wu SK contributed equally to this study; Luo B, Wu SK analyzed the data and wrote the manuscript; Hao JC and Zhang K collected the data; Wang PH, Cheng WW, Fu N, and Yang ZM performed the surgery and provided constructive discussion; All authors have read and approved the final manuscript.
Institutional review board statement: The Institutional Review Board of the First Affiliated Hospital of Chengdu Medical College approved our study, No. 2024CYFYIRB-BA-Apr11.
Informed consent statement: The need for patient consent was waived due to the retrospective nature of the study.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
Data sharing statement: Dataset available from the corresponding author.
STROBE statement: The authors have read the STROBE Statement—a checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-a checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jing-Cheng Hao, MD, Associate Professor, Department of Hepatobiliary and Pancreatic Surgery, Clinical Medical College and The First Affiliated Hospital of Chengdu Medical College, No. 278 Baoguang Avenue, Xindu District, Chengdu 610500, Sichuan Province, China. jingcheng.hao@cmc.edu.cn
Received: July 18, 2024
Revised: August 23, 2024
Accepted: September 11, 2024
Published online: October 27, 2024
Processing time: 71 Days and 17.6 Hours
Core Tip

Core Tip: This is a retrospective observational study that employs a training group to develop a difficulty scoring system for evaluating patients with intrahepatic duct stones who are undergoing laparoscopic liver resection. By employing multiple linear regression modeling, five correlates of surgical difficulty were identified (location of stones, number of stones ≥ 3, stones located in the bile ducts of several grades, previous biliary surgery less than twice, distal bile duct atrophy). Validation with an external dataset demonstrated that the model exhibits favorable predictive performance to surgical difficulty and surgical complications.