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SAGES 2026 Annual Meeting Emerging Technology Session
March 25-28, 2026 | Tampa, FL, USA
P342
DIFFERENCES IN TIME TO TREATMENT FOR GALLBLADDER DISEASE IN MEN AND WOMEN
Poster Presenter
Authors
Emma K Satchell, Robinson Megan, Megan Rozanski, Mark Gopani, Jean Miner, Burt Cagir
Affiliations
Part of Topic
Biliary
INTRODUCTION
•Laparoscopic cholecystectomies in men are often longer, more complicated, with a higher rate of conversion to open
•Our team hypothesized that biases lead to faster diagnoses of biliary disease in women than men, ultimately leading to a delay in surgical intervention for men
METHODS
•IRB approval obtained to perform a retrospective analysis of cholecystectomies done at our rural tertiary care center
•Inclusion criteria: Patients over 18 who had elective laparoscopic, robotic, or open cholecystectomies in past 10 years
•Exclusion criteria: Acute cholecystitis, gallbladders removed for concern of a polyp, interval cholecystectomies after percutaneous drainage
•Variables examined: Gender, date of first presentation to either PCP or the ED with right upper quadrant, epigastric, or left upper quadrant pain, date of surgery
RESULTS
•933 patients, 727 females (77.9%), 206 males (22.1%)
•Average number of days from first complaint to surgery: 1704 days (SD = 1690), median: 1190 days
•Males had an average of 1421 days (SD = 1599) to surgery with a median of 620 days
•Females had an average of 1785 days (SD = 1708) to surgery and a median of 1385 days
•A Mann–Whitney U test shows a statistically significant difference in the number of days from first complaint to surgery between males and females (p = 0.009)
CONCLUSIONS
•We found that women have a longer time to surgery than men. This was the opposite of our expectation
•The median number of days to surgery demonstrates that both men and women often complained of pain for over a year before it was addressed
•On chart review, many women’s abdominal pain was initially attributed to gynecologic issues or IBS
•Additional analysis of the data collected including number of imaging tests performed, final pathology, length of stay and length of surgery is ongoing