Effect of Gender on Difficulties in Laparoscopic Cholecystectomy

Cholecystectomy is one of the most commonly performed abdominal surgical procedures, there is a possible association between gender and Laparoscopic Cholecystectomy complications.

Assessment of the relationship between gender and Laparoscopic Cholecystectomy complications.

A retrospective study involved 160 patients (130 females and 30 males) were examined, patients’ age, gender, and surgical complication were collected (type of inflammation, Anatomical difficulties in resection, Perforation during the operation, Conversion to open cholecystectomy and Omental and organ adhesions to the gallbladder).

Results showed that multiple gallstones with chronic inflammation in male 26.6% and female were 11.5%, also severe difficulties in anatomic resection in male's 33.3% whereas in females 10%. Mild difficulty in resection in female 38.5%, but in the male, it was 3.3%. In perforation during laparoscopy in male was zero & in female was 2.3%. In conversion to open cholecystectomy in the male patients it was 16.7%, but in female was 1.5%. In adhesions to surrounding structures in the male it was 36.7%, in the female it was 18.5% with no adhesions in female was 73.1%, in the male, it was 50%.

Some laparoscopic cholecystectomy complications appear to be more prevalent in male compared to female (Conversion to open cholecystectomy and Anatomical difficulties in resection), while others appear to have similar laparoscopic cholecystectomy complications between males and females.