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Background: Laparoscopic cholecystectomy is the procedure of choice for management of symptomatic gallstone disease and one of the most commonly performed operations by general surgeons. Sometimes, it is difficult and takes longer time or has to be converted to an open procedure due to various difficulties faced while performing the procedure. Aim of the Work: To evaluate the accuracy of Randhawa and Pujahari preoperative scoring system in prediction of difficult laparoscopic cholecystectomy in Egyptian population. Patients and Methods: This is a prospective observational study that has been conducted in department of general surgery, Ain Shams University hospitals, including (60) patients undergoing elective laparoscopic cholecystectomy for symptomatic gall stones disease. The scoring system used was of Randhawa and Pujahari, based on history, clinical examination and radiological finding. Results: Showed that the scoring system is reliable to be used in Egyptian patient with sensitivity 77.78 % and specificity 95.12 %. Conclusion: Ranhawa and Pujahari scoring system are reliable and could be used in Egyptian patients undergoing elective laparoscopic cholecystectomy. This scoring system can help each of patients, surgeons and trainers. With the help of accurate prediction, high risk patient may be informed before operation and hence they may have a chance to make arrangements accordingly. On the other hand, surgeons also may have to schedule the time and team for the operation appropriately.

ACCURACY OF RANDHAWA AND PUJAHARI PREOPERATIVE SCORING SYSTEM IN PREDICTION OF DIFFICULT LAPAROSCOPIC CHOLECYSTECTOMY IN EGYPTIAN POPULATION