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    • Impact of Sex Difference on the Outcomes of Laparoscopic Cholecystectomy

    Mohamed Riad and Basem M. Sieda
    General Surgery Department, Zagazig University Hospitals, Zagazig University, Zagazig, Egypt

    Objective: Our study was carried out to evaluate the effect of male sex on the difficulty of laparoscopic cholecystectomy and its relation to conversion to open cholecystectomy. Patient and method: This is a single-institution prospective study was carried in the general surgery department, Zagazig University Hospitals from January 2014 till January 2016. 196 patients (127 females (group I) and 69 males (group II)) were eligible and met the inclusion criteria and underwent laparoscopic cholecystectomy due to chronic calcular cholecystitis. All parameters are measured in relation to gender (duration of surgery, conversion rate, and postoperative complications). All cholecystectomies were done by the same senior gastrointestinal (GI) surgeon with many years experience in GI and laparoscopic surgery. Results: There was a statistically significant difference between males and females (P_value 0.036) as regard the conversion rate from laparoscopic to open cholecystectomy (9 males and 6 females). But no statistically significant difference between the two groups as regard postoperative complications, Group II (4.3%) and Group I (3.9%), P_value was 0.890. Conclusion: Male sex has an impact on laparoscopic cholecystectomy as regard increased rate of conversion and longer duration of surgery. Keywords: Laparoscopic cholecystectomy, Converted laparoscopic cholecystectomy, Gender and laparoscopic cholecystectomy.

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