Evaluation of cholecystectomy complacations in diabetic and non-diabetic patients in Kerman university hospitals from the year ۱۳۷۴ to ۱۳۷۷

Diabetes mellitus is a systemic disease that involves multiple organs.several documented studies indicated that  prevalence of gallstone in diabetics is higher than  nondiabetics.thus,rate of acute cholecystitis and cholecystectomy should be higher in these patients.some studies have showen that the risk of postoperative complications is higher in the diabetics.this cross-sectional study has been done from ۱۳۷۴ to ۱۳۷۷ in two university hospitals(Bahonar and Kerman-Darman) of Kerman.the study is conducted on ۲۲۷ sequential patients with cholecystitis that were condidates for cholecystectomy within ۷۲ hours of diagnosis.after preliminary therapy and para clinic study:including fasting blood sugar (FBS) measurement,upper midline laparotomy was performed-following induction of general balanced anesthesia.stage of the disease was registered during the operation.the subjects were followed up to ۳۰ days for detection of postoperative complications.there were ۳۴(۱۵%)diabetics (۵ type-۱ and ۲۸ type-۲ diabetics)with age of  ۶۲.۶+_۱۱.۹ years, and ۱۹۳(۸۵%) nondiabetic patientes aged ۵۴.۴+_۱۵.۸ years -old.therefore the age of diabetics were higher than that to nondiabetics(p=۰.۰۰۰۸).FBS of diabetic and nondiabetic gtoups were ۱۸۹.۱۲+_۵۳.۶۴ mg/dl and ۹۱.۴۴+_۱۵.۱۵ mg/dl respectively (p=۰.۰۰۰۱).as for as progression of the disease,۲۵(۱۳.۵%) of diabetics and ۹۰(۷۴%) of non diabetics had a higher stages of cholecytitis (p<۰.۰۵).postoperative complications were ecountered in ۱۵(۳۸.۴%) cases of diabetic and ۲۱(۱۰.۵%) cases of nondiabetic groups(p<۰.۰۰۱,OR=۵.۳۳,X=۱۹.۸۶).it seems that increased prevalence of postoperative complications in diabetic patients is due to more advanced stages of thier disease at the time of diagnosis.however systemic changes due to aging in diabetic patients should also be considered.