IS LAPAROSCOPIC CHOLECYSTECTOMY MORE CHALLENGING IN MALE PATIENTS?
Journal Title: IJAR-Indian Journal of Applied Research - Year 2017, Vol 7, Issue 4
Abstract
In era of minimal invasive surgery LC is a demanding procedure, owing to its superior outcome to open cholecystectomy , acknowledged as procedure of choice in modern world to deal 1,2,3 with symptomatic cholelithiasis. In different studies male gender was found to be the only statistically significant risk factor for conversion. Higher conversion rate among males was attributed to a greater incidence of gallbladder & biliary tree 4 anatomic difficulties in males. Other reason is that males pay less attention to their health problems & permit them to advance, & by the time these patients seek treatment the stage has been set for a difficult LC. Despite advancement in experience & technology, laparoscopic approach to cholecystectomy may not be possible in every patient. In these situations conversion to open procedure is required. Most common reasons requiring conversion are bleeding not controlled via laparoscopic approach, dense adhesions hindering dissection to the extent that either safety is risked or unintentional injury to surrounding structures like which may require conversion to open .
Authors and Affiliations
Dr. Gaurav Mishra, Dr. Subhash Chandra Sharma, Dr. Shankar Prasad Sinha
Keywords
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