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Morbidity and Mortality of Open and Laparoscopic Cholecystectomy in Males. Multicenter Study

Research Article

Article Title: Morbidity and Mortality of Open and Laparoscopic Cholecystectomy in Males. Multicenter Study

Author: Julio Cesar Garduño-Sánchez*, Héctor Bizueto-Rosas, Juan de Dios Pérez-Reyna, Tayde Teresa Valdés- González, Andrés Sánchez-Mercader, Melanie Segoviano-Sandoval, Bárbara Daniela Castro-Luna, Noelly Noemí Bizueto-Blancas, Carlos Arturo Martínez-

Published Date: May 24, 2024

DOI: 10.26717/BJSTR.2024.56.008902

Abstract:

Male gender has been mentioned as a risk factor in open cholecystectomy (OC) or laparoscopic (CL). Anatomical issues, the inflammatory reaction, obesity, preoperative evolution time, and cholecystitis severity are important factors for the presentation of complications or conversion to open surgery. To determine whether the male gender is a factor for higher morbidity and mortality OC and LC Methods: From 2021 to 2023 an ambispective cohort was carried out to determine the prevalence of complications, morbidity, and mortality in OC and LC in 3 institutions, analyzing bleeding, wound infection, conversion rate, time of surgery and hospital stay. The results were analyzed with the statistical program SPSS-27.0. Group 1: 1127 patients, 72.49% were female, 27.5% were male. comorbidities 31%: OC was performed in 21.45% and LC in 78.54% of the cases. A total of 6.45% in men were converted to open surgery. Mean surgical time of 2 hours (53.23%); Minimal bleeding in 92.25% of males, with no statistically significant difference with respect to females (p= 0.509482). Complications in 2.57%; Mortality 0.97%. Group 2: 674 cholecystectomies, 71.06% female and 28.93% male; OC 55.93% and LC 44.06%; conversion 1.92%. subtotal cholecystectomy (STC) 2.07%; 3 lesions (2 biliary tract, 1 duodenum); Mean surgical time in LC < 2h. Group 3: of LC, 78.9% female, 21.1% male; mean surgical time of 93 minutes. Conversion of 4.8% and biliary tract lesion in 0.08%. cholecystitis severity and the time between the beginning of the ailment to surgical resolution are determining factors in postoperative morbidity and mortality, regardless of sex.

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