男性性别是腹腔镜胆囊切除术转为开腹胆囊切除术的危险因素吗？
Is male gender a risk factor for conversion of laparoscopic into open cholecystectomy?
作者信息
Zisman A, Gold-Deutch R, Zisman E, Negri M, Halpern Z, Lin G, Halevy A
机构信息
Department of Surgery B, Assaf Harofeh Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Zerifin, Israel.
出版信息
Surg Endosc. 1996 Sep;10(9):892-4. doi: 10.1007/BF00188477.
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.
背景
基于一项临床观察，即男性腹腔镜胆囊切除术（LC）转为开腹胆囊切除术（OC）的转化率更高，我们决定回顾我们的记录，以核实性别之间的转化率是否存在显著差异。
方法
对329例患者进行了一项关于择期腹腔镜胆囊切除术（LC）转为开腹胆囊切除术（OC）的转化率与性别的回顾性研究，其中女性267例，男性62例。
结果
我们的数据显示，男性转为开腹手术的概率是女性的五倍，分别为21%和4.5%（p = 0.0001）。我们将这种显著差异归因于男性在LC期间有明显更多的粘连（p = 0.0002）和解剖困难（p = 0.003），从而导致转为开腹手术。
结论
我们得出结论，LC转为OC在男性中更为普遍，可能归因于解剖困难的发生率更高。
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