Gender Impact on the Outcomes of Laparoscopic Cholecystectomy

Abstract

Background: Laparoscopic cholecystectomy is now considered the preferred treatment for symptomatic gallstone diseases, establishing itself as the gold standard method.

Objective: The study was designed to evaluate the effect of gender differences on laparoscopic cholecystectomy outcomes after adjusting for potential causes of conversion.

Material and Methods: This retrospective cross-sectional study was conducted at PAC Hospital, Kamra, and PAF Hospital, Islamabad from January to December 2022. A total of 105 patients between ages 18-50 years, either gender, who underwent elective laparoscopic cholecystectomy were included. The outcomes such as age, body mass index, duration of surgery, and length of hospital stay were measured using the independent t-test.

Results: There were 62% females (n=65) and 38% males (n=40) who had laparoscopic cholecystectomy. Patients were on average aged 47.82±10.63 years old. The mean body mass index of patients was 27.1±2.02 kg/m². The duration of surgery was 62.52±2.66 minutes on average for males, and 54.72±1.94 minutes on average for females; this difference was significant (p= 0.0001). Hospital stays after surgery were comparable across the genders, at 1.96±0.90days for males and 1.95±0.92 days for females (p =0.901). There was no discernible variation in conversion between the genders.

Conclusion: Apart from the longer operative time required for male laparoscopic cholecystectomy, this study did not find gender as an independent risk factor for poor outcomes after laparoscopic cholecystectomy.