Effect of gender on the conversion rate of laparoscopic cholecystectomy

Abstract EN

Introduction : many factors have been found to be associated with a higher rate of conversion from laparoscopic to open cholecystectomy.

the aim of this study was to examine whether the patient’s gender, specifically the male gender, is one of these factors.

methods : this retrospective study included patients of both sexes who underwent cholecystectomy at prince Hashim Bin Abdullah ii hospital between 2015 and 2018.

the exclusion criteria were defined to eliminate the effect of most confounding factors.

data were statistically analysed using SPSS version 23.

results : three hundred patients with a mean age of 43.57 years were included in the study, 29.3% of whom were males.

the conversion rate was 8.3% for the whole sample (13.6% for males, 6.1% for females), with a statistically significant difference between males and females (p = 0.032) and an odds ratio of 2.417.

the most common cause for conversion was the inability to display anatomy safely (40%).

conclusion : male gender is an independent risk factor for conversion of laparoscopic cholecystectomy to the open approach.

however, more research is needed to determine the underlying pathophysiology.