Laparoscopic cholecystectomy in diabetes: Challenges and advances
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Date
2025-04
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Abstract
Background: Laparoscopic cholecystectomy (LC) is the gold standard for treating symptomatic gallstone disease, offering advantages such as reduced post-operative pain, shorter hospital stays, and quicker recovery. However, managing diabetic patients presents unique challenges due to their increased risk of complications. This study aimed to assess the challenges and advances of LC in diabetes. Methods: This retrospective observational study was conducted to evaluate the challenges and advancements in LC among diabetic patients. A total of 100 patients were selected in several clinics of Moulvibazar, and the study took place at the Department of Surgery, in 250 Bed District General Hospital Moulvibazar, from May 2021 to June 2023. Statistical analysis was performed using SPSS. Result: This study on LC in diabetic patients revealed that good preoperative glycemic control (HbA1c <7%) significantly reduced complications, with 90% of well-controlled patients experiencing no post-operative issues compared to 60% of those with poor control. Middle-aged patients (50–59 years) and females were more commonly affected. Most surgeries (50%) were completed in under 90 min, with a low conversion-to-open rate (15%) and a majority (75%) experiencing no complications. Conclusion: LC in diabetic patients is both safe and effective, provided meticulous perioperative management is undertaken. This study highlights the critical role of glycemic control, with patients achieving HbA1c <7% experiencing significantly fewer complications and shorter recovery times. Despite challenges such as adhesions and inflammation, the low conversion-to-open-surgery rate (15%) reflects advancements in minimally invasive techniques. Most patients (75%) had no complications, and the low mortality rate (5%) underscores the procedure’s safety when supported by comprehensive care.
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Keywords
Comorbidities, complications, diabetes, laparoscopic cholecystectomy.
Citation
Mostafa A. B. M., Al Mohsin Nazmuddin, Rahman Azizur, Karim Shah Md Rezaul, Azad Abul Kalam . Laparoscopic cholecystectomy in diabetes: Challenges and advances. Annals of International Medical and Dental Research. 2025 Apr; 11(2): 1-6