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[Male gender-- difficulty factor in cholecystectomies for cholelithiasis]
E Târcoveanu1, Oana Epure, Fl Zugun
1Facultatea de Medicină Clinica I Chirurgie, Universitatea de Medicină şi Farmacie Gr.T. Popa Iaşi.
Insights
Male gender is linked to more severe symptomatic cholelithiasis (gallstones) and increased difficulty during laparoscopic cholecystectomy. This study highlights challenges in surgical outcomes for male patients with gallstones.
Area of Science:
- Gastroenterology
- Surgical Oncology
Context:
- Symptomatic cholelithiasis (gallstones) presents unique challenges in surgical management.
- Male gender is an identified risk factor for increased conversion rates and disease severity.
Purpose:
- To investigate the impact of male gender on the clinical presentation of symptomatic cholelithiasis.
- To analyze the relationship between male gender and acute cholecystectomy outcomes, including operating time, conversion frequency, and postoperative morbidity.
Summary:
- A retrospective analysis of 4145 patients with symptomatic cholelithiasis was conducted between 1993 and 2001.
- Patients were categorized into elective laparoscopic cholecystectomy, successful acute laparoscopic cholecystectomy, acute conversion to open surgery, and elective open cholecystectomy groups.
- Findings indicate that male patients experience a more severe form of cholecystitis, posing greater difficulties for laparoscopic cholecystectomy.
Impact:
- Results suggest male gender is associated with increased surgical complexity in cholecystectomy.
- Understanding these gender-specific differences can inform surgical planning and patient management strategies.
Abstract:
Male gender has been recognized as a risk factor for an increased conversion rate of laparoscopic cholecystectomy and more severe disease in those with symptomatic cholelithiasis. The aim of this study was to determine the effect of male gender on the clinical presentation of symptomatic cholelithiasis, relation between male gender and acute cholecystectes, the operating time, the frequency of conversion and postoperative morbidity. The medical records of all patients with symptomatic cholelithiasis from 31 mars 1993 to 31 mars 2001 (4145 patients) were evaluated. These cases were divided into four groups: A--elective laparoscopic cholecystectomy group--patients with cholecystectes with elective laparoscopic cholecystectomy (3995 cases); B--patients with acute cholecystectes whose laparoscopic cholecystectomy was performed successfully (660 cases); C--acute conversion group converted to open surgery (240 cases); D--acute open group with elective open cholecystectomy. The study reveals that males suffer from a severe form of cholecystectes that raise difficulties when laparoscopic cholecystectomy is performed.
