Gender-Based Differences in the Outcome of Laparoscopic Cholecystectomy   in Patients with Gall Stones

Abstract

Objective: To determine the outcome of laparoscopic cholecystectomy in males versus females. Study Design: Cross-sectional analytical study. Place and Duration of Study: Department of General Surgery, Combined Military Hospital Rawalpindi Pakistan, from Mar to Aug 2022. Methodology: A total of 200 participants were enrolled in the study as Group–A (Males) and Group – B (Females). Patients were selected based on inclusion and exclusion criteria and variables analyzed were demographic profile, past abdominal surgery history, total duration of surgery computed from the insertion of the telescopic port till the extraction of the gall bladder, post-operative hospitalization in terms of the number of days, event of laparoscopic cholecystectomies to open cholecystectomies along with the reasoning of this decision, and perioperative/postoperative complications. Results: A total of (200) elective laparoscopic cholecystectomies cases were included in the study with 35(17.5%) males (Group-A) and 165(82.5%) females (Group-B). A relatively higher frequency of 46(27.9%) (p-value 0.01) of lower abdominal surgeries were recorded in female participants. No statistically significant difference in duration of surgery was recorded (p-value 0.9). The thin-walled gallbladder was mainly represented by the female candidates 105(63.6%). Laparoscopic cholecystectomies was converted to open cholecystectomies in 2(1.2%) females however it was not encountered in any of the male participants (p-value 0.51). Conclusion: Gender-based frequency of cholecystitis and laparoscopic cholecystectomies is greater in females as compared to males with a ratio of 4.7:1 with no significant difference in the preoperative, intraoperative, and postoperative outcomes between the genders.

Keywords

• Cholecystectomy, Cholecystitis, Laparoscopic