Effect of gender on symptomatic gallstone

Abstract

Introduction: Laparoscopic cholecystectomy (LC) is generally preferred over conventional open cholecystectomy (OC)
for cholelithiasis. This study was conducted to analyze the effect of gender on the severity of symptomatic gallstone
disease and difficulties in laparoscopic cholecystectomy.
Method: This was a cross-sectional study from February 15, 2007 to February 14, 2008 in the department of surgery
at B P Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal. All the patients with symptomatic gallstone disease
who were underwent cholecystectomy were included in the study. Those patients, who underwent cholecystectomy in
association with other abdominal surgery, were excluded from the study.
Result: The peak age of patients who underwent cholecystectomy for gallstone in male was 41 to 60 years and in female
21 to 40 years. Acute cholecystitis was common in male i.e. 28 (39.44%). Distended gallbladder, thickened gallbladder
wall, adhesion to gallbladder, and frozen calot’s triangle were common intraoperative findings in male. Duration of surgery,
conversion, blood loss, and post-operative complications were similar in both gender.
Conclusion: Male are a risk factor for severe symptomatic gallstone disease which causes difficult dissection but we did
not find increased morbidity or complications (intraoperative or post-operative).