Does gender affect laparoscopic cholecystectomy?

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
S BotaitisC Simopoulos

Abstract

The relationship between sex and outcome after laparoscopic surgery for symptomatic cholelithiasis remains unclear. The purpose of this study was to determine the influence of sex on the clinical presentation of patients with symptomatic gallstone disease and the clinical outcomes of laparoscopic cholecystectomy. The rates of conversion to open cholecystectomy, complication rates, operative times, and lengths of hospital stay were compared between the sexes. Compared with female patients, males were significantly older and more likely to have coexisting cardiovascular disease, previous upper abdominal surgery, previous hospitalization for acute cholecystitis and pancreatitis, acute cholecystitis, and suppurative cholecystitis (such as empyema), conversions, and complications. The mortality rate was nil. Analyses revealed an independent effect of sex on the prevalence of complications, even when including all of the major confounding factors in the model. In contrast, the effect of sex on conversion to open cholecystectomy was not significant when controlling for patient age. Operative time and postoperative hospital stay were significantly longer in males than in females. The tendency of male patients to have cholecystitis of g...Continue Reading

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Citations

May 8, 2010·Surgical Endoscopy·Simon E ThesbjergJacob Rosenberg
Oct 1, 2009·The Indian Journal of Surgery·Constantinos SimopoulosMichail Pitiakoudis
Mar 31, 2012·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Mustafa HasbahceciArif Ozdemir
Mar 6, 2010·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Ashfaq ChandioFuad Aftab
Sep 10, 2013·American Journal of Surgery·Anahita DuaSreyram Kuy
Dec 3, 2015·World Journal of Emergency Surgery : WJES·Marios PapadakisHubert Zirngibl
Sep 14, 2012·Asian Journal of Endoscopic Surgery·Khawar KamranJawad Khalil
Feb 22, 2011·International Journal of Surgery·Venkatesh KanakalaLiam F Horgan
Apr 27, 2016·Asian Journal of Endoscopic Surgery·Norihiro SatoKeiji Hirata
Feb 23, 2018·World Journal of Emergency Surgery : WJES·Stefan JansenPeter C Ambe
Aug 29, 2019·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Júlio Cezar Uili CoelhoAlexandre C T de Freitas

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