iarjsIARJSIARJS2789-6102https://doi.org/10.47310/iarjs.2023.v03i01.010Utility of Parkland Grading Scale in Patients Undergoing Laparoscopic Cholecystectomy in a Tertiary Care HospitalAnirudhSatishVVinaySIntroduction: Covid pandemic and late presentation of cholecystitis to hospital often make the laparoscopic cholecystectomy difficult and chances of conversion and complication remains. Many preoperative grading scales have been developed and used for predicting the difficulty of surgery in cholecystitis patients; however, intraoperative assessment of anatomical status and inflammation of the gall bladder has not been considered except for some guidelines like the Parkland grading scale (PGS). We aimed to utilize this guideline in patients undergoing laparoscopic cholecystectomy in a tertiary care setup. Materials and Methods: PGS was applied for all the patients undergoing laparoscopic cholecystectomy and laboratory and outcome factors like preoperative white blood cells (WBC), open conversion, subtotal cholecystectomy, length of surgery and bile leaks postoperatively were assessed. Results: Among 60 patients who underwent cholecystectomy, there were 22 grade one GBs, 29 grade two GBs, 5 grade three GBs, 3 grade four GBs and 1 grade five GBs. With a conversion rate of 1.67%, two patients underwent subtotal cholecystectomy. Among them, two were graded as 4th grade, according to PGS system. Postoperative bile leak was seen in one patients was grade four. Preoperative WBC, conversion to open, subtotal cholecystectomy, length of surgery and postoperative bile leak all significantly increased with increasing grades (p<0.05). Conclusion: PGS can be applied in patients undergoing laparoscopic cholecystectomy in a tertiary care setup. With its use, postoperative course of the patient can be predicted and counselling can be done about the possibilities of the outcome.