Impact of Diabetes on Outcomes of Laparoscopic Cholecystectomy: A Prospective Study
OBJECTIVES This study aims to assess the impact of diabetes on laparoscopic cholecystectomy (LC) outcomes, as optimizing results for diabetic patients undergoing this common surgery presents unique clinical challenges. METHODOLOGY We comprehensively analyzed 258 participants, comparing 60 ind...
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| Format: | Article |
| Language: | English |
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Gandhara University
2024-12-01
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| Series: | Journal of Gandhara Medical and Dental Sciences |
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| Online Access: | http://jgmds.org.pk/index.php/JGMDS/article/view/634 |
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| author | Gohar Ali Yousaf Jan Almas Khattak Jawad Ali Muhammad Kashif Dawar Anees Ahmad Fazal Ullah |
| author_facet | Gohar Ali Yousaf Jan Almas Khattak Jawad Ali Muhammad Kashif Dawar Anees Ahmad Fazal Ullah |
| author_sort | Gohar Ali |
| collection | DOAJ |
| description |
OBJECTIVES
This study aims to assess the impact of diabetes on laparoscopic cholecystectomy (LC) outcomes, as optimizing results for diabetic patients undergoing this common surgery presents unique clinical challenges.
METHODOLOGY
We comprehensively analyzed 258 participants, comparing 60 individuals with diabetes to 198 non-diabetic counterparts. Key variables, including age, gender, BMI, comorbidities, ASA grade, and CCI index, were assessed. Additionally, intraoperative and postoperative characteristics, ultrasound findings, and outcomes were analyzed.
RESULTS
Diabetic individuals exhibited advanced age, a higher BMI, and increased severity of illness based on their ASA grade and CCI index. Intraoperatively, diabetic individuals showed higher probabilities of empyema of the GB (23.3%), thick wall gallbladder (3.8%), mucocele (8.3%), gangrenous (10.8%), and other complications. The model explained variability in outcomes such as severe complications (6.6%), intraoperative hemorrhages (5%), conversion to open surgery (4.2%), and length of hospital stay (1.58±1.01 SD). Persistent pain 13 (5.03%), port site infection 30 (11.6%), intraabdominal abscess 5 (1.9%), bile duct injury 8 (3.1%), jaundice 8 (3.1%), and readmission to the hospital 4 (1.5%) were noted.
CONCLUSION
Diabetic individuals undergoing laparoscopic cholecystectomy present distinct clinical features and higher probabilities of specific intraoperative and postoperative complications. The multivariate analysis provides insights into the variability of outcomes, emphasizing the importance of tailored approaches for diabetic patients in this surgical context.
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| format | Article |
| id | doaj-art-4a731a3bb78f4124986611ff8ebd9dc0 |
| institution | Kabale University |
| issn | 2312-9433 2618-1452 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Gandhara University |
| record_format | Article |
| series | Journal of Gandhara Medical and Dental Sciences |
| spelling | doaj-art-4a731a3bb78f4124986611ff8ebd9dc02025-02-01T08:23:45ZengGandhara UniversityJournal of Gandhara Medical and Dental Sciences2312-94332618-14522024-12-0112110.37762/jgmds.12-1.634Impact of Diabetes on Outcomes of Laparoscopic Cholecystectomy: A Prospective StudyGohar Ali0Yousaf Jan1Almas Khattak2Jawad Ali3Muhammad Kashif Dawar4Anees Ahmad5Fazal Ullah6Hayatabad Medical Complex, PeshawarHayatabad Medical Complex, Peshawar, PakistanHayatabad Medical Complex, PeshawarHayatabad Medical Complex, PeshawarHayatabad Medical Complex, PeshawarHayatabad Medical Complex, PeshawarHayatabad Medical Complex, Peshawar OBJECTIVES This study aims to assess the impact of diabetes on laparoscopic cholecystectomy (LC) outcomes, as optimizing results for diabetic patients undergoing this common surgery presents unique clinical challenges. METHODOLOGY We comprehensively analyzed 258 participants, comparing 60 individuals with diabetes to 198 non-diabetic counterparts. Key variables, including age, gender, BMI, comorbidities, ASA grade, and CCI index, were assessed. Additionally, intraoperative and postoperative characteristics, ultrasound findings, and outcomes were analyzed. RESULTS Diabetic individuals exhibited advanced age, a higher BMI, and increased severity of illness based on their ASA grade and CCI index. Intraoperatively, diabetic individuals showed higher probabilities of empyema of the GB (23.3%), thick wall gallbladder (3.8%), mucocele (8.3%), gangrenous (10.8%), and other complications. The model explained variability in outcomes such as severe complications (6.6%), intraoperative hemorrhages (5%), conversion to open surgery (4.2%), and length of hospital stay (1.58±1.01 SD). Persistent pain 13 (5.03%), port site infection 30 (11.6%), intraabdominal abscess 5 (1.9%), bile duct injury 8 (3.1%), jaundice 8 (3.1%), and readmission to the hospital 4 (1.5%) were noted. CONCLUSION Diabetic individuals undergoing laparoscopic cholecystectomy present distinct clinical features and higher probabilities of specific intraoperative and postoperative complications. The multivariate analysis provides insights into the variability of outcomes, emphasizing the importance of tailored approaches for diabetic patients in this surgical context. http://jgmds.org.pk/index.php/JGMDS/article/view/634DiabetesIntraoperative FindingsComplicationsLaparoscopic Cholecystectomy |
| spellingShingle | Gohar Ali Yousaf Jan Almas Khattak Jawad Ali Muhammad Kashif Dawar Anees Ahmad Fazal Ullah Impact of Diabetes on Outcomes of Laparoscopic Cholecystectomy: A Prospective Study Journal of Gandhara Medical and Dental Sciences Diabetes Intraoperative Findings Complications Laparoscopic Cholecystectomy |
| title | Impact of Diabetes on Outcomes of Laparoscopic Cholecystectomy: A Prospective Study |
| title_full | Impact of Diabetes on Outcomes of Laparoscopic Cholecystectomy: A Prospective Study |
| title_fullStr | Impact of Diabetes on Outcomes of Laparoscopic Cholecystectomy: A Prospective Study |
| title_full_unstemmed | Impact of Diabetes on Outcomes of Laparoscopic Cholecystectomy: A Prospective Study |
| title_short | Impact of Diabetes on Outcomes of Laparoscopic Cholecystectomy: A Prospective Study |
| title_sort | impact of diabetes on outcomes of laparoscopic cholecystectomy a prospective study |
| topic | Diabetes Intraoperative Findings Complications Laparoscopic Cholecystectomy |
| url | http://jgmds.org.pk/index.php/JGMDS/article/view/634 |
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