Male Gender Impact on the Outcome of Laparoscopic Cholecystectomy

Bazoua, George; Tilston, Michael P.

doi:10.4293/108680813x13693422518830

Cited by 20 publications

(25 citation statements)

References 13 publications

(11 reference statements)

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“…Similarly, higher proportion of women patients were observed in studies by Bazoua 15%). 22,23,[15][16][17] In the current study, mean age reported in both male and female groups was below 30 years. Our findings are consistent with a study by Al-Mulhim et al that observed patients with mean age of 32.9 years.…”

Section: Discussionmentioning

confidence: 46%

“…10,11,18 Several research studies have evidenced that higher surgical difficulties experience in men during LC and increased conversion rates as compared to women. [15][16][17][18][19] Despite the availability of enough evidence, a lot of controversy still governs the role of male gender as an independent risk factor for conversion of LC to open surgery. 20 On these grounds, this single institution study was done to analyse the impact of male sex on outcome of LC to prove whether it is an independent risk factor for conversion or not.…”

Section: Discussionmentioning

confidence: 99%

“…9,[12][13][14] On the contrary, data from few studies failed to demonstrate male gender as a risk factor for conversion. 15,16 Although extensive studies exploring the role of gender as a risk factor in LC have already been undertaken in the past, the findings are conflicting. Keeping this in the background, the study aimed to investigate the impact of male gender as an independent risk factor on the outcomes of laparoscopic cholecystectomy.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Is gender a determinant for the outcome of laparoscopic cholecystectomy?

Bahadur¹,

Bisht²,

Rathi³

et al. 2020

Int Surg J

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Background: Currently, laparoscopic cholecystectomy is one of the most desirable procedures to treat symptomatic gallstone disease. Yet, various risk factors govern its conversion to open surgery. The impact of male sex as a risk factor for conversion has been a questionable issue. The study aimed to evaluate the role of male sex on outcomes of laparoscopic cholecystectomy.Methods: As per inclusion and exclusion criteria, medical records of all the patients aged 18-70 years who underwent elective LC for a period of 14 months were accessed retrospectively. Data related to patients’ demographic details, intra-operative and post-operative findings was recorded and subjected to analysis.Results: Out of 232 selected cases, 17.67% were males and 82.32% were females. Mean age in both gender groups was similar (p=0.139). Body mass index was also found to be similar in both the groups (p=0.232). There was no significant difference (p=0.85) in the mean operative time between men (29.37±9.29) and women (28.88±15.66). Conversion to open surgery was seen only in female group (1.57%) but it is not significantly from the male group (p=0.42). No significant difference was observed in both groups regarding unwanted intra-operative events (p=0.231) and post-operative complications (p=0.70) and post- operative stay (p=0.50).Conclusions: This study suggests that male gender may not be considered as an independent risk factor for outcome of laparoscopic cholecystectomy. However, extensive research in future may cast further light on this issue.

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Section: Discussionmentioning

confidence: 46%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Is gender a determinant for the outcome of laparoscopic cholecystectomy?

Bahadur¹,

Bisht²,

Rathi³

et al. 2020

Int Surg J

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“…[16][17][18] There have been general agreement that, besides the male gender, there are other significant predictors of conversion such as increased age, obesity, thickened gallbladder wall detected in preoperative biliary ultrasound, acute cholecystitis, morbid obesity, a high ASA classification, previous upper intra-abdominal (gastro intestinal) surgery. 3,18 Controversies still exist on risk factors for conversion, and male patients undergoing LC have more surgical difficulties and increased conversion rates than females. 8,9,13,16 Studies report that male patients had advanced gall bladder disease when they seek treatment leading to difficulties in LC.…”

Section: Discussionmentioning

confidence: 99%

Does the male gender govern conversion of laparoscopic cholecystectomy?

Manandhar¹,

Manandhar

2019

J Patan Acad Health Sci

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Introductions: Laparoscopic cholecystectomy (LC) occasionally demands conversion to open cholecystectomy (OC) because of multiple risk factors. This study was conducted to find out whether male gender is a stand-alone risk factors for conversion of LC to OC. Methods: This was a comparative analysis of conversion of LC to OC in patients operated for symptomatic cholelithiasis during June 2017 to May 2018 at Bir hospital, National Academy of Medical Sciences, Kathmandu, Nepal. The patients were divided into two groups: male (group 1) and female (group 2). Study variables included gender, America Society of Anesthesiologist class, history of upper abdominal pain within six weeks prior to surgery, upper abdominal surgery, emergency department visit due to upper abdominal pain, adhesion of gallbladder to adjacent structure and body mass index. Binominal logistic regression analysis of risk factors for conversion was conducted. Odds ratio (95% CI) was calculated. The p value ≤ 0.05 was considered statistically significant. Results: Among 151 patients (male 39, female 112), 7 (4.6%, male 3 and female 4) had conversion from LC to OC. Male gender itself as an isolated risk factor had no significant association to conversion (p=0.303). There was no significant difference found for age, operating time and hospital stay. Previous emergency visit (p=0.020) and adhesion (p<0.030) were associated with conversion. Conclusions: Male gender had no significant association for conversion of LC to open. Previous emergency visit due to upper abdominal pain and adhesion of gallbladder were associated risk factors for conversion.

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“…Ambe PC et al and Bazoua G et al also found similar results for conversion rates in their studies. 7,11 But there are some other studies which suggest that conversion rates are indeed higher in males. 3,4,[12][13][14][15][16] Although conversion to open surgery should not be seen as a complication, as it is done to ensure patient safety usually after a well-considered decision, it is indeed a significant event as it is likely to increase postoperative morbidity and stay.…”

Section: Discussionmentioning

confidence: 99%

A study of impact of gender on operative findings and outcome in patients undergoing laparoscopic cholecystectomy

Kumar¹,

Kumar²,

Verma³

et al. 2016

Int Surg J

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Background: Gallstone disease (GSD) is a prevalent health problem around the globe and the treatment of choice for symptomatic GSD is laparoscopic cholecystectomy (LC). There are many factors that influence the operative findings, conversion rates and the outcome of surgery. Male gender has been considered by some to be an adverse factor in this regard. Through this study we intend to find out the role of gender in the operative findings and outcome of laparoscopic cholecystectomy.Methods: All the patients undergoing laparoscopic cholecystectomy at SMI Hospital, Dehradun during one year period were included in the study with certain exceptions. The details of clinical presentation, operative findings and conversion rates, duration of surgery and peri-operative complications were recorded separately for male and female patients and compared.Results: A total of 402 patients were included in the study. 72 (17.9%) were male and 330 (82%) were female. The mean duration of surgery was significantly greater in the male group (66 min) as compared to female group (60.5 min). The rate of conversion to open surgery was not significantly different in the two groups. There was no significant difference in frequencies of complications in the two groups.Conclusions: Gender has little role as far as overall morbidity and conversion to open surgery are concerned in patients undergoing laparoscopic cholecystectomy.

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Male Gender Impact on the Outcome of Laparoscopic Cholecystectomy

Abstract: In this study, male gender was found to have no impact on the outcomes of laparoscopic cholecystectomy.

Cited by 20 publications

References 13 publications

Is gender a determinant for the outcome of laparoscopic cholecystectomy?

Is gender a determinant for the outcome of laparoscopic cholecystectomy?

Does the male gender govern conversion of laparoscopic cholecystectomy?

A study of impact of gender on operative findings and outcome in patients undergoing laparoscopic cholecystectomy

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