View : 106 Download: 0

Sex-based analysis of the outcome of laparoscopic cholecystectomy for acute cholecystitis

Title
Sex-based analysis of the outcome of laparoscopic cholecystectomy for acute cholecystitis
Authors
Lee H.K.Han H.-S.Min S.K.Lee J.-H.
Ewha Authors
이주호이현국민석기
SCOPUS Author ID
이주호scopus; 이현국scopus; 민석기scopus
Issue Date
2005
Journal Title
British Journal of Surgery
ISSN
0007-1323JCR Link
Citation
British Journal of Surgery vol. 92, no. 4, pp. 463 - 466
Indexed
SCIE; SCOPUS WOS scopus
Document Type
Review
Abstract
Background: Complicated acute cholecystitis, for example when empyema or gangrene is present, is associated with increased postoperative morbidity and mortality rates. The aim of this study was to determine the correlation between sex, the severity of acute cholecystitis and the outcome of laparoscopic cholecystectomy. Methods: Of 674 patients in whom laparoscopic cholecystectomy was attempted, 348 had chronic cholecystitis and 326 had acute cholecystitis. The medical records of the latter were reviewed retrospectively. Results: The proportion of male patients significantly increased with the severity of cholecystitis: 37.4 per cent of those with chronic cholecystitis were men, compared with 44.4 per cent of those with uncomplicated acute cholecystitis and 57 per cent of those with complicated acute cholecystitis (P = 0.001). Multivariate analysis showed that advanced age (odds ratio 2.24; P = 0.004) and male sex (odds ratio 1.76; P = 0.029) independently predicted complicated acute cholecystitis. The conversion rate to open operation was 6.4 per cent in men and 5.9 per cent in women (P = 0.843). The postoperative complication rate was 10.3 and 8.2 per cent respectively (P = 0.528). Conclusion: Male sex was identified as a risk factor for more severe acute cholecystitis, but outcome for men after laparoscopic cholecystectomy was not significantly different from that for women. Copyright © 2005 British Journal of Surgery Society Ltd.
DOI
10.1002/bjs.4870
Appears in Collections:
의과대학 > 의학과 > Journal papers
Files in This Item:
There are no files associated with this item.
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE