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.
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.
Authors: P A Grace; A Qureshi; P Burke; A Leahy; N Brindley; H Osborne; B Lane; P Broe; D Bouchier-Hayes Journal: Br J Surg Date: 1993-02 Impact factor: 6.939
Authors: Y Taniguchi; K Ido; K Kimura; Y Yoshida; M Ohtani; C Kawamoto; N Isoda; T Suzuki; M Kumagai Journal: Am J Gastroenterol Date: 1993-08 Impact factor: 10.864
Authors: Roxanne L Massoumi; Rie Sakai-Bizmark; Cynthia M Tom; Erin Howell; Christopher P Childers; Howard C Jen; Steven L Lee Journal: J Surg Res Date: 2019-08-14 Impact factor: 2.192