Is male gender a risk factor for conversion of laparoscopic into open cholecystectomy?
| Autor: | Negri M, Einat Zisman, Zvi Halpern, Ariel Halevy, Amnon Zisman, Ruth Gold-Deutch, Guy Lin |
|---|---|
| Rok vydání: | 1996 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Gastroenterology Sex Factors Risk Factors Internal medicine Laparotomy medicine Humans Cholecystectomy Risk factor Laparoscopy Retrospective Studies Gynecology medicine.diagnostic_test business.industry Incidence (epidemiology) Retrospective cohort study medicine.disease Cholecystectomy Laparoscopic Elective Surgical Procedures Cholecystitis Female Surgery business Abdominal surgery |
| Zdroj: | Surgical Endoscopy. 10:892-894 |
| ISSN: | 1432-2218 0930-2794 |
| DOI: | 10.1007/bf00188477 |
| Popis: | Background: Based on a clinical observation that the conversion rate of laparoscopic cholecystectomy (LC) to open cholecystectomy (OC) is higher in males, we decided to review our records and to verify whether a significant difference in conversion rates exists between sexes. Methods: A retrospective study on conversion rates of elective laparoscopic cholecystectomy (LC) into open cholecystectomy (LC) in relation to gender was carried out in 329 patients: 267 females and 62 males. Results: Our data revealed that the probability of conversion is fivefold greater in males than females, 21% vs 4.5%, respectively (p=0.0001). We attribute this striking difference to significantly more adhesions (p=0.0002) and anatomical difficulties (p=0.003) in males during LC, leading to conversion. Conclusions: We conclude that conversion of LC to OC is more prevalent among males and is probably attributable to a greater incidence of anatomical difficulties. |
| Databáze: | OpenAIRE |
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