E-ISSN 2367-699X | ISSN 2367-7414
 

Original Research 


ROLE OF MALE GENDER IN LAPAROSCOPIC CHOLECYSTECTOMY OUTCOME

Rakan Alqahtani, Wagih Ghnnam, Mohammad Alqahtani, Abdulrahman Qatomah, Awdah AlKhathami, Adel Alhashim.

Cited by (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

Key words: Chronic cholecystitis, laparoscopy, Cholecystectomy, male gender


 
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REFERENCES
1. Ghnnam W, Malek J, Shebl E, Elbeshry T, Ibrahim A. Rate of conversion and complications of laparoscopic cholecystectomy in a tertiary care center in Saudi Arabia. Annals of Saudi Medicine. 2010; 30(2):145-148. [DOI via Crossref]    [DOI via Crossref]   
2. McMahon AJ, Russell IT, Baxter JN, et al. Laparoscopic versus minilaparotomy cholecystectomy: a randomized trial. Lancet. 1994; 343:135-138. [DOI via Crossref]   
3. Berggren U, Gordh T, Grama D, Haglund U, Rastad J, Arvidsson D. Laparoscopic versus open cholecystectomy: hospitalization, sick leave, analgesia and trauma responses. Br J Surg. 1994; 81:1362-1365. [DOI via Crossref]    [Pubmed]   
4. Trondsen E, Reiertsen O, Andersen OK, Kjaersgaard P. Laparoscopic and open cholecystectomy: a prospective, randomized study. Eur J Surg. 1993; 159:217-221. [Pubmed]   
5. Fried GM, Barkun JS, Sigman HH, et al. Factors determining conversion to laparotomy in patients undergoing laparoscopic cholecystectomy. Am J Surg. 1994; 167(1):35-39. [DOI via Crossref]   
6. Yol S, Kartal A, Vatansev C, Aksoy F, Toy H. Sex as a factor in conversion from laparoscopic cholecystectomy to open surgery. JSLS. 2006; 10(3):359-363. [Pubmed]    [PMC Free Fulltext]   
7. Wiebke EA, Pruitt AL, Howard TJ, Jacobson LE, Broadie LE, Goulet RJ. Conversion of laparoscopic to open cholecystectomy: an analysis of risk factors. Surg Endosc. 1996; 10:742-745. [DOI via Crossref]    [Pubmed]   
8. Kama NA, Doganay M, Dolapci M, Recs E, Atli M, Kologlu M. Risk factor resulting in the conversion of laparoscopic cholecystectomy to open surgery. Surg Endosc. 2001; 15(9):965-968. [DOI via Crossref]    [Pubmed]   
9. Gronroos JM, H\={o}m\={o}l\={o}inen MT, Karvonen J, Gullichsen R, Laine S. Is male gender a risk for bile duct injury during laparoscopic cholecystectomy? Langenbecks Arch Surg. 2003; 388:261-264. [DOI via Crossref]    [Pubmed]   
10. Liu CL, Fan ST, Lai EC, Lo CM, Chu KM. Factors affecting the conversion of laparoscopic cholecystectomy to open surgery. Arch Surg. 1996; 131(1):98-101. [DOI via Crossref]    [Pubmed]   
11. Al-Mulhim AA. Male gender is not a risk factor for the outcome of laparoscopic cholecystectomy: a single surgeon experience. Saudi J Gastroenterol. 2008; 14:73-79. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
12. Sanabria JR, Gallinger S, Croxford R, Strasberg SM. Risk factors in elective laparoscopic cholecystectomy for conversion to open cholecystectomy. J Am Coll Surg. 1994; 179:696-704. [Pubmed]   
13. Jansen S, Jorgensen J, Caplehorn J, Hunt D. Preoperative ultrasound to predict conversions in laparoscopic cholecystectomy. Surg Laparosc Endosc. 1997; 7:121-123. [DOI via Crossref]    [Pubmed]   
14. Brodsky A, Matter I, Sabo E, Cohen A, Abrahamson J, Eldar S. Laparoscopic cholecystectomy for acute cholecystitis: can the need for conversion and the probability of complications be predicted? A prospective study.Surg Endosc. 2000; 14:755-760. [DOI via Crossref]    [Pubmed]   
15. Merriam LT, Kanaan SA, Dawes LG, Angelos P, Prystowsky JB, Rege RV, et al. Gangrenous cholecystitis: analysis of risk factors and experience with laparoscopic cholecystectomy. Surgery. 1999; 126:680-685. [DOI via Crossref]   
16. Ambe PC, Weber SA, Wassenberg D. Is gallbladder inflammation more severe in male patients presenting with acute cholecystitis? BMC Surgery. 2015;15:48. [DOI via Crossref]    [DOI via Crossref]   
17. Brunt LM, Quasebarth MA, Dunnegan DL, Soper NJ. Outcome and analysis of laparoscopic cholecystectomy in the extremely elderly. Surg Endosc. 2001; 15:700-705. [DOI via Crossref]    [Pubmed]   
18. Rosen M, Brody F, Ponsky J. Predictive factors for conversion of laparoscopic cholecystectomy. Am J Surg 2002;184:254-8. [DOI via Crossref]   
19. Kanaan SA, Murayama KM, Merriam LT, Dawes LG, Prystowsky JB, Rege RV. Risk factors for conversion of laparoscopic to open cholecystectomy. J Surg Res 2002; 106:20-4. [DOI via Crossref]    [Pubmed]   
20. Simopoulos C, Botaitis S, Polychronidis A, Tripsianis G, Karayiannakis AJ. Risk factors for conversion of laparoscopic cholecystectomy to open cholecystectomy. Surg Endosc 2005; 19: 905-9. [DOI via Crossref]    [Pubmed]   
21. McManus PL, Wheatley KE. Consent and complications: Risk disclosure varies widely between individual surgeons. Ann R Coll Surg Engl. 2003; 85:79-82. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
22. Bittner R. Laparoscopic surgery: 15 years after clinical introduction. World J Surg. 2006; 30:1190-203. [DOI via Crossref]    [Pubmed]   
23. Ibrahim S, Hean TK, Ho LS, Ravintharan T, Chye TN, Chee CH. Risk factors for conversion to open surgery in patients undergoing laparoscopic cholecystectomy. World J Surg. 2006; 30:1698-704. [DOI via Crossref]    [Pubmed]   
24. Giger UF, Michel JM, Optiz I, Inderbitzin DT, Kocher T, Krähenbühl L. Risk factors for preoperative complications in patients undergoing laparoscopic cholecystectomy: Analysis of 22,953 consecutive cases from the Swiss Association of Laparoscopic and Thoracoscopic Surgery Database. J Am Coll Surg. 2006; 203:723-8. [DOI via Crossref]    [Pubmed]   
25. Cuschieri A, Dubois F, Mouiel J, Mouret P, Becker H, Buess G, et al. The European experience with laparoscopic cholecystectomy. Am J Surg. 1991; 161:385-7 [DOI via Crossref]   
26. Lepner U, Grunthal V. Intraoperative cholangiography can be safely omitted during laparoscopic cholecystectomy: A prospective study of 413 consecutive patients. Scand J Surg. 2005; 94:197-200. [Pubmed]   
27. Velanovich V, Morton JM, McDonald M, Orlando R, 3rd, Maupin G, Traverso LW, et al. Analysis of the SAGES outcomes initiative cholecystectomy registry. Surg Endosc. 2006; 20:43-50. [DOI via Crossref]    [Pubmed]   
28. Russell JC, Walsh SJ, Reed-Fourquet L, Mattie A, Lynch J. Symptomatic cholelithiasis: a different disease in men? Connecticut Laparoscopic Cholecystectomy Registry. Ann Surg. 1998; 227: 195-200. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
29. Zisman A, Gold-Deutch R, Zisman E, Negri M, Halpern Z, Lin G, Halevy A. Is male gender a risk factor for conversion of laparoscopic into open cholecystectomy? Surg Endosc. 1996; 10: 892-894. [DOI via Crossref]    [Pubmed]   
30. Ishizaki Y, Miwa K, Yoshimoto J, Sugo H, Kawasaki S. Conversion of elective laparoscopic to open cholecystectomy between 1993 and 2004. Br J Surg. 2006; 93:987-91. [DOI via Crossref]    [Pubmed]   
31. Alponat A, Kum CK, Koh BC, Rajnakova A, Goh PM. Predictive factors for conversion of laparoscopic cholecystectomy. World J Surg. 1997; 21:629-33. [DOI via Crossref]    [Pubmed]   

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How to Cite this Article
Pubmed Style

Rakan Alqahtani, Wagih Ghnnam, Mohammad Alqahtani, Abdulrahman Qatomah, Awdah AlKhathami, Adel Alhashim. ROLE OF MALE GENDER IN LAPAROSCOPIC CHOLECYSTECTOMY OUTCOME. Int J Surg Med. 2015; 1(2): 38-42. doi:10.5455/ijsm.20150903081650


Web Style

Rakan Alqahtani, Wagih Ghnnam, Mohammad Alqahtani, Abdulrahman Qatomah, Awdah AlKhathami, Adel Alhashim. ROLE OF MALE GENDER IN LAPAROSCOPIC CHOLECYSTECTOMY OUTCOME. http://www.ejos.org/?mno=199342 [Access: May 26, 2019]. doi:10.5455/ijsm.20150903081650


AMA (American Medical Association) Style

Rakan Alqahtani, Wagih Ghnnam, Mohammad Alqahtani, Abdulrahman Qatomah, Awdah AlKhathami, Adel Alhashim. ROLE OF MALE GENDER IN LAPAROSCOPIC CHOLECYSTECTOMY OUTCOME. Int J Surg Med. 2015; 1(2): 38-42. doi:10.5455/ijsm.20150903081650



Vancouver/ICMJE Style

Rakan Alqahtani, Wagih Ghnnam, Mohammad Alqahtani, Abdulrahman Qatomah, Awdah AlKhathami, Adel Alhashim. ROLE OF MALE GENDER IN LAPAROSCOPIC CHOLECYSTECTOMY OUTCOME. Int J Surg Med. (2015), [cited May 26, 2019]; 1(2): 38-42. doi:10.5455/ijsm.20150903081650



Harvard Style

Rakan Alqahtani, Wagih Ghnnam, Mohammad Alqahtani, Abdulrahman Qatomah, Awdah AlKhathami, Adel Alhashim (2015) ROLE OF MALE GENDER IN LAPAROSCOPIC CHOLECYSTECTOMY OUTCOME. Int J Surg Med, 1 (2), 38-42. doi:10.5455/ijsm.20150903081650



Turabian Style

Rakan Alqahtani, Wagih Ghnnam, Mohammad Alqahtani, Abdulrahman Qatomah, Awdah AlKhathami, Adel Alhashim. 2015. ROLE OF MALE GENDER IN LAPAROSCOPIC CHOLECYSTECTOMY OUTCOME. International Journal of Surgery and Medicine, 1 (2), 38-42. doi:10.5455/ijsm.20150903081650



Chicago Style

Rakan Alqahtani, Wagih Ghnnam, Mohammad Alqahtani, Abdulrahman Qatomah, Awdah AlKhathami, Adel Alhashim. "ROLE OF MALE GENDER IN LAPAROSCOPIC CHOLECYSTECTOMY OUTCOME." International Journal of Surgery and Medicine 1 (2015), 38-42. doi:10.5455/ijsm.20150903081650



MLA (The Modern Language Association) Style

Rakan Alqahtani, Wagih Ghnnam, Mohammad Alqahtani, Abdulrahman Qatomah, Awdah AlKhathami, Adel Alhashim. "ROLE OF MALE GENDER IN LAPAROSCOPIC CHOLECYSTECTOMY OUTCOME." International Journal of Surgery and Medicine 1.2 (2015), 38-42. Print. doi:10.5455/ijsm.20150903081650



APA (American Psychological Association) Style

Rakan Alqahtani, Wagih Ghnnam, Mohammad Alqahtani, Abdulrahman Qatomah, Awdah AlKhathami, Adel Alhashim (2015) ROLE OF MALE GENDER IN LAPAROSCOPIC CHOLECYSTECTOMY OUTCOME. International Journal of Surgery and Medicine, 1 (2), 38-42. doi:10.5455/ijsm.20150903081650