Observational study to compare surgical outcome in diabetics and non-diabetics patients undergoing laparoscopic cholecystectomy

Abstract

Background: Diabetes mellitus (DM) is a known risk factor for gallstone formation and associated complications. However, its impact as an independent risk factor for complications during laparoscopic cholecystectomy (LC) remains debated. This study aimed to evaluate the surgical outcomes of laparoscopic cholecystectomy in diabetic versus non-diabetic patients. Methods: This hospital-based comparative study included 60 patients (30 diabetics and 30 non-diabetics) undergoing elective laparoscopic cholecystectomy. Preoperative, intraoperative, and postoperative parameters were compared between the two groups, including operative time, intraoperative difficulties, and conversion rate to open surgery, postoperative complications, and length of hospital stay. Results: Both groups were comparable regarding age, gender, and BMI. Intraoperatively, diabetic patients exhibited significantly higher rates of adhesions (83.3% vs 46.7%, p