Application of the Parkland grading scale in video laparoscopic cholecystectomies

Abstract

Introduction: The Parkland grading scale is an intraoperative visual scale to prevent complications in video laparoscopic cholecystectomies. Materials and Methods: it is an observational, descriptive, cross-sectional, temporarily retrospective study. The Parkland grading scale was applied in patients undergoing video laparoscopic cholecystectomies at
the Hospital de Clínicas, I Cátedra y Servicio de Clínica Quirúrgica, during the year 2021. Results: 267 patients were studied who had undergone video laparoscopic cholecystectomy; 29.59% of them showed Grade I classification, 37.83% Grade II, 18.73% Grade III, 10.49% Grade IV, and 3.37% Grade V. The surgery performed was total video laparoscopic cholecystectomy in 95.13% of the cases, with a conversion rate of 4.49%. Having a past medical history obstructive jaundice of lithiasic origin, hyperbilirubinemia, elevated alkaline phosphatase levels, increased BMI, type of surgery (scheduled/emergency), diagnosis of acute cholecystitis, time of surgery, surgery performed, and use of cavity drainage increases the Parkland grades (p < .05). Conclusion: The Parkland grading scale makes it possible to decide on the early surgical strategy in the intraoperative period and make comparisons of the results and reports of fairer rates of complications.