Is male gender a risk factor for conversion of laparoscopic into open cholecystectomy?

被引：31

作者：

Zisman, A ^{[1
]}

GoldDeutch, R ^{[1
]}

Zisman, E ^{[1
]}

Negri, M ^{[1
]}

Halpern, Z ^{[1
]}

Lin, G ^{[1
]}

Halevy, A ^{[1
]}

机构：

[1] TEL AVIV UNIV,SACKLER FAC MED,ASSAF HAROFEH MED CTR,DEPT SURG B,IL-70300 ZERIFIN,ISRAEL

来源：

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1996年 / 10卷 / 09期

关键词：

laparoscopic cholecystectomy; open cholecystectomy; conversion; males; females;

D O I：

10.1007/s004649900191

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

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.

引用

页码：892 / 894

页数：3

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