Male Gender is not a Risk Factor for the Outcome of Laparoscopic Cholecystectomy: A Single Surgeon Experience

<b>Background/Aim: </b> Previous studies regarding the outcome of laparoscopic cholecystectomy (LC) in men have reported inconsistent findings. We conducted this prospective study to test the hypothesis that the outcome of LC is worse in men than women. <b> Materials and Methods: </b> Between 1997 and 2002, a total of 391 consecutive LCs were performed by a single surgeon at King Fahd Hospital of the University. We collected and analyzed data including age, gender, body mass index (kg/m² ), the American Society of Anesthesiologists (ASA) class, mode of admission (elective or emergency), indication for LC (chronic or acute cholecystitis [AC]), comorbid disease, previous abdominal surgery, conversion to open cholecystectomy, complications, operation time, and length of postoperative hospital stay. <b> Results:</b> Bivariate analysis showed that both genders were matched for age, ASA class and mode of admission. The incidences of AC (<i> P</i> = 0.003) and comorbid disease (<i> P</i> = 0.031) were significantly higher in men. Women were significantly more obese than men (<i> P</i> &lt; 0.001) and had a higher incidence of previous abdominal surgery (<i> P</i> = 0.017). There were no statistical differences between genders with regard to rates of conversion (<i> P</i> = 0.372) and complications (<i> P</i> = 0.647) and operation time (<i> P</i> = 0.063). The postoperative stay was significantly longer in men than women (<i> P</i> = 0.001). Logistic regression analysis showed that male gender was not an independent predictor of conversion (Odds ratio [OR] = 0.37 and <i> P</i> = 0.43) or complications (OR = 0.42, <i> P</i> = 0.42). Linear regression analysis showed that male gender was not an independent predictor of the operation time, but was associated with a longer postoperative stay (<i> P</i> = 0.02). <b> Conclusion:</b> Male gender is not an independent risk factor for satisfactory outcome of LC in the experience of a single surgeon

Adhesive small bowel obstruction due to pelvic inflammatory disease: A case report

We report a rare case of a 32-year-old woman with adhesive small bowel obstruction due to pelvic inflammatory disease. She had no history of abdominal surgery, gynecological complaints or constitutional symptoms of chronic illness. The diagnosis was based on the laparoscopic findings of small bowel adhesions, free peritoneal fluid, “violin string” adhesions of Fitz-Hugh–Curtis syndrome and left hydrosalpinx. Laparoscopic adhesiolysis was performed successfully, and the patient had an uneventful postoperative course. The authors conclude that pelvic inflammatory disease should be included as a cause of adhesive small bowel obstruction in sexually active young women with no history of abdominal surgery or constitutional symptoms of chronic disease. When performed by experienced surgeons, laparoscopy in such patients is feasible and safe

Sialolipoma of the superficial lobe of the parotid gland: A case report and literature review

Sialolipoma of the parotid gland is very rare. We report a case of a 38-year-old woman who presented with a painless, slowly growing, mobile lump of the parotid gland. Computed tomography revealed lipoma of the superficial lobe of the parotid gland. Superficial parotidectomy was performed with uneventful postoperative course. The histology showed sialolipoma. Review of the 25 reported cases (including our case) of parotid sialolipoma shows that this tumor is more common in the fifth decade of life, on the left side and the superficial lobe. It has a slight preference for men. Its clinical presentation mimics the standard (pure) parotid lipoma and other more common benign parotid tumors particularly pleomorphic adenoma and Warthin′s tumor. Surgical excision is curative with minor complications and small recurrence rate. Histological examination is necessary to establish the diagnosis and to exclude malignancy