Research Article
Concomitant versus Delayed Cholecystectomy in Bariatric Surgery
| LC difficulty | Score |
| Access | BMI ≥45 | 1 | Difficult liver elevation (liver size ≥ 20 cm at MCL by US) | 1 |
| Appearance | <50% of gall bladder (GB) | 1 | >50% of GB | 2 | Buried GB | 3 |
| Distention or contraction | Distended GB | 1 | Intrahepatic or contracted GB | 1 | Severely inflamed gall bladder (GB): mucocele, pyocele, or thick edematous wall. | 2 |
| Dense adhesions at Calot’s triangle | 1 | Total | 10 |
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