Background : Ultrasound scanning has been the ideal method for diagnosing GS disease. This research aimed to evaluate to compare and correlate between Ultrasound scoring system versus the Intraoperative scoring system in Gall bladder Diseases.

Methods : The single arm, single-center, prospective, observational study was done. Pre-operative USG was performed in all included patients. We developed our USG scoring system and Intraoperative scoring system for predicting difficulties in Laparoscopic cholecystectomy. Laparoscopic cholecystectomy was performed and intraoperative findings were noted as per the pre-decided parameters.

Results : A total of n=167 patients who were scheduled for LC were studied. 50.90% of patients were females. A previous history of abdominal surgery was noted in 17.96% and history of ERCP was in10.18%. Preoperative USG suggested distended / contracted /fibrosed/ lump GB in 99.40% of patients whereas, it was present in all the patients intraoperatively 100%. USG showing abnormal wall thickness in 35.33% was found to be abnormal in 56.89% of patients intraoperatively. Stone size >5mm was found in 90.42% and 97.01% of patients when assessed preoperatively (USG) and intraoperatively. Dilated CD and CBD in 0.60% and 8.38% patients was depicted by USG whereas, intraoperatively it was found in 14.97% and 10.78% respectively. The mean preoperative USG finding score was found to be significantly less compared to the intraoperative finding score (P=0.00014).

Conclusions : The more the value of the preoperative USG scoring system more likely will be the difficulty during LC.