Screening and diagnosis

Classification and risk stratification

Perioperative care

Quality improvement

Patient education

Nonpharmacologic interventions

Therapeutic procedures

Respiratory support

Follow-up and surveillance

Specific circumstances

Preventative measures

Medical management

Surgical interventions

Inpatient care

Diagnostic procedures

Diagnostic investigations

Insufficient evidence to make a recommendation.

Strongly favor this test or intervention.

The CholeS score, or Cholecystectomy Scoring System, is a clinical calculator used to predict the duration of laparoscopic cholecystectomy, a surgical procedure to remove the gallbladder. This scoring system is applicable to patients who are undergoing laparoscopic cholecystectomy, particularly those with gallstone disease.

The CholeS score is clinically useful in preoperative planning and resource allocation. It helps surgeons estimate the duration of the procedure, which can aid in scheduling and managing operating room resources. It can also assist in patient counseling regarding the expected length of the procedure.

The CholeS score is not applicable to patients undergoing open cholecystectomy or those with other types of gallbladder disease. It also may not be accurate in predicting the duration of surgery in complex cases or in patients with significant comorbidities.

CholeS score for duration of laparoscopic cholecystectomy

# Description:
The CholeS score, or Cholecystectomy Scoring System, is a clinical calculator used to predict the duration of laparoscopic cholecystectomy, a surgical procedure to remove the gallbladder. This scoring system is applicable to patients who are undergoing laparoscopic cholecystectomy, particularly those with gallstone disease.

The CholeS score is clinically useful in preoperative planning and resource allocation. It helps surgeons estimate the duration of the procedure, which can aid in scheduling and managing operating room resources. It can also assist in patient counseling regarding the expected length of the procedure.

The CholeS score is not applicable to patients undergoing open cholecystectomy or those with other types of gallbladder disease. It also may not be accurate in predicting the duration of surgery in complex cases or in patients with significant comorbidities.
---
# Inputs:
## Age, years
A. < 40 (+0)
B. >= 40 (+1.5)

## Gender
C. Male (+1)
D. Female (+0)

## Indication
E. Pancreatitis (+0)
F. Colic, dyskinesia, or polyp (+0.5)
G. Common bile duct stone (+2)
H. Acalculous/cholecystitis (+2.5)

## Body mass index
I. < 25 (+0)
J. 25-35 (+1)
K. > 35 (+2)

## Common bile duct diameter
L. Normal (+0)
M. Dilated (+2)

## Gallbladder wall
N. Normal (+0)
O. Thick (+1.5)

## Preoperative computed tomography done
P. Yes (+1.5)
Q. No (+0)

## Planned intraoperative cholangiogram
R. Yes (+3)
S. No (+0)

## Number of previous surgical admissions
T. 0 (+0)
U. 1-2 (+1)
V. > 2 (+2.5)

## American Society of Anesthesiologists class
W. 1 (+0)
X. 2 (+1)
Y. > 2 (+2.5)
---
# Scoring:
- If score <= 3, then Risk of operative time > 90 minutes is 5.1%
- If score <= 8, then Risk of operative time > 90 minutes is 5.1-41.8%
- If score > 8, then Risk of operative time > 90 minutes is 41.8%
- If score == 0, then Please make a selection)

Gallbladder polyps

Guidelines

Key sources

Classification and risk stratification

Diagnostic investigations

Surgical interventions

Specific circumstances

Follow-up and surveillance