Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/11667
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dc.contributor.authorNikfarjam, Mehrdad-
dc.contributor.authorHarnaen, Efrant-
dc.contributor.authorTufail, Farrukh-
dc.contributor.authorMuralidharan, Vijayaragavan-
dc.contributor.authorFink, Michael A-
dc.contributor.authorStarkey, Graham-
dc.contributor.authorJones, Robert M-
dc.contributor.authorChristophi, Christopher-
dc.date.accessioned2015-05-16T01:17:04Z
dc.date.available2015-05-16T01:17:04Z
dc.date.issued2013-02-01-
dc.identifier.citationSurgical Laparoscopy, Endoscopy & Percutaneous Techniques; 23(1): 61-5en_US
dc.identifier.otherPUBMEDen
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/11667en
dc.description.abstractSeveral series have reported differences in characteristics, severity, operative complexity, and outcomes of patients with symptomatic gallstone disease according to sex. Whether sex truly influences outcomes of patients with acute cholecystitis in the current era of early laparoscopic cholecystectomy for acute cholecystitis is unknown.Patients with histologically confirmed acute cholecystitis treated by a specialized unit in a tertiary hospital between November 2005 and January 2011 were identified. Retrospective review of data was undertaken and patients were compared according to sex.There were 386 cases of confirmed acute cholecystitis in this series, with 181 (47%) occurring in male patients. Male patients with acute cholecystitis tended to be older (66 vs. 57 y; P < 0.001) and were more likely to have underlying diabetes (21% vs. 9%; P = 0.001), ischemic heart disease (24% vs. 8%; P < 0.001), chronic liver disease (6% vs. 1%; P = 0.015), and chronic obstructive airways disease (11% vs. 5%; P = 0.025). They were also more likely to be febrile, tachycardic, hypotensive, and exhibit right upper quadrant rigidity at presentation than females (P < 0.05), despite similar duration of symptoms before presentation (P = 0.970). The operative technique, operative time, and rate of conversion to open surgery were similar between the sexes. Gangrenous pathology was, however, more common in male patients (45% vs. 23%; P < 0.001). The overall complication, mortality, and readmission rates were similar between the 2 groups. Males, however, had a longer postoperative length of stay (4 vs. 3 d; P = 0.001).Male patients with acute cholecystitis are older, have more comorbidities, and are more likely to have gangrenous cholecystitis than female patients. Despite these differences, operative outcomes and postoperative morbidity and mortality are similar between male and female patients.en_US
dc.language.isoenen
dc.subject.otherAge Factorsen
dc.subject.otherAgeden
dc.subject.otherCholecystectomy, Laparoscopic.statistics & numerical dataen
dc.subject.otherCholecystitis, Acute.pathology.surgeryen
dc.subject.otherConversion to Open Surgery.statistics & numerical dataen
dc.subject.otherFemaleen
dc.subject.otherGallbladder.pathologyen
dc.subject.otherGangrene.etiologyen
dc.subject.otherHumansen
dc.subject.otherLength of Stayen
dc.subject.otherMaleen
dc.subject.otherMiddle Ageden
dc.subject.otherOperative Timeen
dc.subject.otherSex Factorsen
dc.titleSex differences and outcomes of management of acute cholecystitis.en_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleSurgical Laparoscopy, Endoscopy & Percutaneous Techniquesen_US
dc.identifier.affiliationSurgeryen_US
dc.identifier.doi10.1097/SLE.0b013e3182773e52en_US
dc.description.pages61-5en
dc.relation.urlhttps://pubmed.ncbi.nlm.nih.gov/23386154en
dc.type.contentTexten_US
dc.type.austinJournal Articleen
local.name.researcherChristophi, Christopher
item.openairetypeJournal Article-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.grantfulltextnone-
item.fulltextNo Fulltext-
item.cerifentitytypePublications-
item.languageiso639-1en-
crisitem.author.deptSurgery (University of Melbourne)-
crisitem.author.deptSurgery (University of Melbourne)-
crisitem.author.deptHepatopancreatobiliary Surgery-
crisitem.author.deptSurgery-
crisitem.author.deptVictorian Liver Transplant Unit-
crisitem.author.deptSurgery-
crisitem.author.deptVictorian Liver Transplant Unit-
crisitem.author.deptSurgery (University of Melbourne)-
crisitem.author.deptHepatopancreatobiliary Surgery-
crisitem.author.deptGastroenterology and Hepatology-
crisitem.author.deptSurgery-
crisitem.author.deptHepatopancreatobiliary Surgery-
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