Predictive factors of surgical difficulty in laparoscopic cholecystectomy in a secondary hospital.

Prior upper abdominal surgery showed a trend toward more difficulty (5 versus 2%, p = 0.09).

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Patient-related factors like age > 60, male sex, BMI ≥ 30, and diabetes were observed more often in difficult cases but did not reach statistical significance in our cohort.

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These two factors remained highly significant after controlling for all other factors.

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