Grading Score of Luppi et al for Technical Difficulty of a Laparoscopic Splenectomy for a Non-Traumatic Disorder (Difficulty Score)

Description

Luppi et al reported a score for grading the difficulty of laparoscopic splenectomy for a non-traumatic cause. The authors are from the Autonomous University of Barcelona and Instituto Nacional de CienciasMedicas y NutricionSalvarodZubiran (Mexico City).

Patient selection: adult with non-traumatic disorder of the spleen

Parameters:

(1) age in years

(2) gender

(3) pathology group

(4) splenic weight

estimated splenic weight in grams =

= (width in cm) * (length in cm) * (height in cm) * 0.6

Parameter	Finding	Points
age	< 40 years	0
	40 to 60 years	1
	> 60 years	2
gender	female	0.5
	male	1
pathology	ITP	0.5
	other benign	1
	malignant	2
spleen weight	< 400 grams	1
	400 to 1,000 grams	3
	> 1,000 grams	5

total score =

= SUM(points for all of the parameters)

Interpretation:

• miinimum score: 2

• maximum score: 10

Total Score	Difficulty
2 to 4	low
4.4 to 5.5	medium
>= 6	high

Performance:

• The area under the ROC curve is 0.67.

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Grading Score of Luppi et al for Technical Difficulty of a Laparoscopic Splenectomy for a Non-Traumatic Disorder (Difficulty Score)

Description

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