ROLE OF MALE GENDER IN LAPAROSCOPIC CHOLECYSTECTOMY OUTCOME
Journal Title: International Journal of Surgery and Medicine - Year 2015, Vol 1, Issue 2
Abstract
Laparoscopic cholecystectomy (LC) is one of the most commonly performed laparoscopic procedures. Problems occurring during laparoscopic cholecystectomy include bile duct injury, conversion to open operation, and other postoperative complications. Male gender is a risk factor for LC conversion rate.Our goal is to determine the effect of male gender on the outcome of laparoscopic cholecystectomy for Chronic Cholecystitis. We have done that through a retrospective clinical trial was carried out at our Hospital to evaluate the sex difference as predictor for difficult laparoscopic cholecystectomy. From a total number of 638 patients, who underwent laparoscopic cholecystectomy for Chronic Cholecystitis from 1st January 2012 to 1st of January 2015) two hundred and seventeen patients were excluded according to exclusion criteria and the remaining 421 patients were included.All the operation were done according to standard four-port technique through an open method was used, with first entry port in the periumblical region. 1 Anesthetic technique and perioperative management were the same for all patients during the study period. Results: Patients who were candidates for elective cholecystectomy , were mostly females with (F:M ratio= 4/1), mean age 40 years (range 13-101 years) with mean age of 45 years(range 20-78 years) for the males, 40years (range 13-100 years) for the females. There were more difficult cholecystectomies in males in comparison to female patients for chronic cholecystitis. The outcome of this study is male gender is a predictor for difficult laparoscopy for symptomatic gallstones presented as chronic cholecystitis
Authors and Affiliations
Rakan Alqahtani, Wagih Ghnnam, Mohammad Alqahtani, Abdulrahman Qatomah, Awdah AlKhathami, Adel Alhashim
Keywords
Related Articles
- EP ID EP216529
- DOI 10.5455/ijsm.20150903081650
- Views 107
- Downloads 0
THE EFFECT OF HYDROGEN PEROXIDE ON THE HEALING OF THE LAID OPEN WOUND IN THE TREATMENT OF CHRONIC SACROCOCCYGEAL PILONIDAL SINUS: A RETROSPECTIVE DATABASE ANALYSIS OF 500 PATIENTS
Background: Many clinical studies reported excellent results when the lay open method was used as a treatment of chronic sacrococcygeal pilonidal sinus, despite leaving the wound open for long time, and the increased ris...
CLINICAL EVALUATION OF EFFECT OF EARLY EXPOSURE OF WOUNDS AFTER MINOR SURGICAL PROCEDURES
Application of dressings to surgical wounds is a custom as old as history and has become a ritual marking the completion of surgery. Under certain circumstances a surgical dressing might in fact predispose to the develop...
DEPENDENCE OF YKL-40 mRNA TISSUE LEVELS ON KRAS MUTATION STATUS IN COLORECTAL CANCER - PRELIMINARY RESULTS
Colorectal cancer (CRC) is one of the most deadly cancers worldwide. Despite the introduction of targeted molecular therapies in the last 10 years, overall survival has not increased substantially. CRC progression is acc...
IMPLEMENTING A QUALITY IMPROVEMENT FRAMEWORK FOR MAJOR AMPUTATION IN A SCOTTISH HEALTH BOARD (PATTERNS OF PERI-OPERATIVE MORTALITY AND AMPUTATION LEVEL)
We present a large contemporary series of patients presenting with unreconstructable critical limb ischaemia and requiring amputation. As well as being an insight into the challenges faced with the implementation of a qu...
SAFETY OF LIPOFILLING AS A SECONDARY PROCEDURE IN BREAST RECONSTRUCTION
Lipofilling is a useful surgical technique for breast reconstruction following cancer surgery. It has a unique place in the correction of both lumpectomy and post-mastectomy reconstruction defects. The procedure is mostl...