SpringerLink
Log in

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

  • Original Articles
  • Published:
Surgical Endoscopy Aims and scope Submit manuscript

Abstract

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Collet D, Edye M, Perissat J (1993) Conversion and complication of laparoscopic cholecystectomy. Results of a survey conducted by the French Society of Endoscopic Surgery and Interventional Radiology. Surg Endosc 7(4): 334–338

    Google Scholar 

  2. Fugger R, Klimann S, Gnant M, Herbst F, Shultz F, Fritsch A (1992) Laparoscopic cholecystectomy—evaluation of a prospective follow-up study. Wien Klin Wochenschr 104(20): 640–643

    Google Scholar 

  3. Grace PA, Qureshi A, Burke P, Leahy A, Brindley N, Osborne H, Lane B, Broe P, Bouchier-Hayes D (1993) Selective cholangiography in laparoscopic cholecystectomy. Br J Surg 80(2): 244–246

    Google Scholar 

  4. Halevy A, Gold-Deutch R, Negri M, Halpern Z, Slutzki S, Sackier J (1993) Laparoscopic cholecystectomy. Harefuah 124(4): 188–191,248

    Google Scholar 

  5. Jorgensen JO, Hunt DR (1993) Laparoscopic cholecystectomy. A prospective analysis of the potential causes of failure. Surg Laparosc Endosc 3(1): 49–53

    Google Scholar 

  6. Jurka M, Riebel O, Leypold J, Skricka T, Piskac P, Kala Z, Kleinbauer A (1993) Laparoscopic cholecystectomy: early results in the initial non-selected group of 50 surgical patients. Rozhl Chir 72(1): 8–12

    Google Scholar 

  7. Kiviluoto T, Luukkonen P, Haapiainen R, Kruuna O, Kivilaakso E (1992) Laparoscopic cholecystectomy for symptomatic gallstone disease. Experience of the first 200 cases. Ann Chir Gynaecol 81(4): 343–348

    Google Scholar 

  8. McGee JM, Randel MA, Morgan RM, Nolen MG, Weaver GE, Malnar KF, Yamanashi WS, Lytle GH (1992) Laparoscopic cholecystectomy: an initial community experience. J Laparoendosc Surg 2(6): 293–302

    Google Scholar 

  9. Orlando R, Russell JC, Lynch J (1993) Laparoscopic cholecystectomy. A statewide experience. The Connecticut Laparoscopic Cholecystectomy Registry. Arch Surg 128(5): 494–498

    Google Scholar 

  10. Randoux O, Desrousseaux B, Atat I, Sarkis P, Corman N, Ampe J (1992) Conversion laparotomies during cholecystectomies under laparoscopy. Apropos of 285 consecutive cholecystectomies. J Chir (Paris) 129(12): 519–522

    Google Scholar 

  11. Sim RR, Nowicky DJ, McAlhany JC, Blouin GS, Blackhurst DW (1992) Laparoscopic cholecystectomy in a community hospital setting. Surg Gynecol Obstet 175(2): 161–166

    Google Scholar 

  12. Smith JF, Boysen D, Tschirhart J, Williams T, Vasilenko P (1992) Comparison of laparoscopic cholecystectomy versus elective open cholecystectomy. J Laparoendosc Surg 2(6): 311–317

    Google Scholar 

  13. Taniguchi Y, Ido K, Kimura K, Yoshida Y, Ohtani M, Kawamoto C, Isoda N, Suzuki T, Kumagai M (1993) Introduction of a “safety zone” for the safety of laparoscopic cholecystectomy. Am J Gastroenterol 88(8): 1258–1261

    Google Scholar 

  14. Udwadia TE, Patil SU, Udwadia RT, Bhandarkar DS (1992) Laparoscopic cholecystectomy in India. Int Surg 77(3): 149–153

    Google Scholar 

  15. Wilson RG, MacIntyre IM, Nixon SJ, Saunders JH, Varma JS, King PM (1992) Laparoscopic cholecystectomy as a safe and effective treatment for severe acute cholecystitis. Br Med J 305(6850): 394–396

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Surgery “B,” Assaf Harofeh Medical Center, Sackler Faculty of Medicine, Tel Aviv University, 70300, Zerifin, Israel

    A. Zisman, R. Gold-Deutch, M. Negri, Z. Halpern, G. Lin & A. Halevy

  2. Department of Chemical Immunology, the Weizmann Institute of Science, 76100, Rehovot, Israel

    E. Zisman

Authors
  1. A. Zisman
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. R. Gold-Deutch
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. E. Zisman
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. M. Negri
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Z. Halpern
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. G. Lin
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. A. Halevy
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Zisman, A., Gold-Deutch, R., Zisman, E. et al. Is male gender a risk factor for conversion of laparoscopic into open cholecystectomy?. Surg Endosc 10, 892–894 (1996). https://doi.org/10.1007/BF00188477

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00188477

Key words

Search

Navigation