Scientific journal
Научное обозрение. Медицинские науки
ISSN 2500-0780
ПИ №ФС77-57452

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ACUTE CHOLECYSTITIS IN MEN: PROBLEMS AND TRENDS

Bykov A.V. 1 Oreshkin A.Y. 1
1 The Volgograd State Medical University. Russia.1
A retrospective analysis of 829 histories of patients with acute cholecystitis (AC) was conducted. Out of 829 patients, 204 were men (24,6 %), 124 (60,8 %) of them underwent surgery. A comparative gender analysis was conducted to study the frequency AC in different age groups, the immediate results of treatment, and mortality rate. The analysis has revealed that the number of men diagnosed and hospitalized with AC over the last 15 years has increased, from 16. 9 % to 24.6 %. The frequency of AC in elderly men is 33,4 %, which is higher than the frequency of AC in population, 27,3 %.Men more often than women develop a complicated AC. They demonstrate a higher rate of urgent interventions, laparoscopic cholecystectomy conversion, postoperative complications, and a higher mortality rate, 4,03 % in men compared to 0.3 % in women. Over 15 years, the postsurgical mortality in AC has statistically significantly decreased, from 3.2 % to 1.35 %. This decrease, however, has occurred at the expense of women, from 2.3 % to 0.3 %. The mortality rate among men has decreased from 7,03 % to 4.03 %. The authors believe that men are in need of more active surgical tactics compared to women. Including a gender perspective in treatment protocols of AC is important for improving treatment.