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Does gender affect laparoscopic cholecystectomy?

Sotirios Botaitis¹, Alexandros Polychronidis, Michail Pitiakoudis

¹Second Department of Surgery, Democritus University of Thrace, Alexandroupolis, Greece. smpotait@med.duth.gr

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques

|April 23, 2008

Summary

Male patients undergoing laparoscopic surgery for gallstones face higher complication risks and longer recovery times. Early intervention is recommended for men due to increased disease severity and surgical complexity.

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Area of Science:

Surgical Outcomes
Gastrointestinal Surgery
Laparoscopic Procedures

Background:

The impact of sex on outcomes following laparoscopic surgery for symptomatic cholelithiasis is not well-defined.
Understanding sex-based differences is crucial for optimizing surgical care and patient counseling.

Purpose of the Study:

To investigate the influence of sex on the clinical presentation of symptomatic gallstone disease.
To evaluate the impact of sex on clinical outcomes after laparoscopic cholecystectomy.

Main Methods:

Retrospective comparison of male and female patients undergoing laparoscopic cholecystectomy.
Analysis of complication rates, conversion rates to open surgery, operative times, and hospital stay.
Statistical modeling to identify independent effects of sex, controlling for confounding factors.

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Main Results:

Male patients were older and had more comorbidities, including cardiovascular disease and prior abdominal surgeries.
Males exhibited higher rates of acute cholecystitis, suppurative cholecystitis, conversions, and complications compared to females.
Operative times and hospital stays were significantly longer for males. Sex independently predicted complications, but not conversion when age was controlled.

Conclusions:

Male sex is associated with increased severity of cholecystitis and a higher risk of complications after laparoscopic cholecystectomy.
Surgeons should counsel male patients on elevated conversion rates and prolonged recovery, advocating for early surgical intervention.