Laparoscopic cholecystectomy in obese diabetic women

Abstract

Background: Diabetes mellitus is associated with an increased risk of complications after abdominal surgery. We evaluated retrospectively the impact of preoperative risk factors and outcome of diabetic patients after laparoscopic cholecystectomy (LC) compared with open cholecystectomy (OC) for symptomatic gallstones. Objective: To determine Laparoscopic cholecystectomy in obese diabetic women Methods: A cross-sectional study was conducted at Shifa International hospital Islamabad Pakistan, which was performed between April 2020 and March 2022. The total number of patients in our study were 100. The number of female patients were 95 and male were 5. In 100 consecutive patients who underwent for blood tests and some diagnostic tests too. We included only old age people in our study age above than 40 years. We took BMI for every patients. Data was tabulated and analyzed by SPSS. Results: In a current study total 100 patients were enrolled. The minimum age of patients were 40 and the maximum age of the patients were 80. The mean age were 11.81±10.2 years. The minimum BMI were 30 and maximum BMI were 40. The mean BMI were 3.041±13.5. The minimum Operation hours were 1 and maximum Operation hours were 2. The mean of the operation hours were 1.045±3.76. Fig 1, shows us gender distribution, in which 95 were female patients while 5 were male patients. The frequency of male patients were 95 and the percentage were 95. The frequency of female patients were 5 and its percentage were 5. The frequency of nausea patients were 16 and its percentage were 16. The frequency of vomiting patients were 84 and its percentage were 84. The frequency of sever right abdominal patients was present in 97 patients and was not present in 3 patients. The frequency of diabetes mellitus 97 and its percentage were 97 while the frequency of diabetes mellitus were not present in 3 patients. 75% of patients were cholelithiasis while 25% of patients were not affected by cholelithiasis. The second figure shows 18 % of patients have choledocholithiasis and 82 % of patients were not affected by this disease. The third figure shows that 3% of patients have cholecystitis while 97% of patients were not affected by this type of disease. The fourth figure shows that type 2 Diabetes mellitus were present in 97% of patients while were not present in 3% of patients. Conclusion: Laparoscopic cholecystectomy as a new technique for the treatment of cholecystectomy. The main benefit of laparoscopic cholecystectomy for diabetic patients is that the wound recovers fast and its no major complications. In our study females were as compared to males. The operation time is from 1 to 2 hours on laparoscopic Cholecystectomy.