Laparoscopic Cholecystectomy in Children
Conditions
Brief summary
Cholecystectomy is the most common procedure in biliary surgery which may be open or laparoscopic.laparoscopic cholecystectomy is widely accepted as the gold standard technique in both adults and children .over recent years there has been a significant increase in paediatric cholecystectomies alongside a rising incidence of childhood gall stones.
Detailed description
The majority of paediatric gallstones are related to haemolytic diseases such as hereditary spherocytosis. In recent decades, the incidence of gallstone disease in children has risen which may be related to the epidemic of paediatric obesity and improved survival of critically ill neonates who have received long-term total parenteral nutrition or correction of abnormalities resulting in increased incidence of cholelithiasis in the paediatric population such as short gut syndrome.The rate of conversion to open cholecystectomy ranges between 2% and 20%. Certain preoperative and operative factors can reliably predict the chances of conversion to the open procedure. Until recently large studies are lacking of assessment of the risk factors that my be responsible for conversion of laparoscopic cholecystectomy to open cholecystectomy . This study aims to assess preoperative and operative risk factors for conversion to open surgery .
Interventions
PROCEDURElaparscopic Cholecystectomy in children
Evaluate preoperative and operative risk factors for conversion of laparoscopic cholecystectomy to open cholecystectomy
Sponsors
Assiut University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
1 Years to 18 Years
Healthy volunteers
Yes
Inclusion criteria
1. Patients with age less than 18 years old presented to assiut university hospitals at pediatric surgeey unit. 2. fit for surgery
Exclusion criteria
1. patients with co-existent common bile duct stones based on imaging and biochemical criteria. 2. Patients with Pancreatitis . 3. Patients with previous upper abdominal surgery. 5\_Significant medical disease rendering patient unfit for Laparoscopic surgery (e.g. Chronic Pulmonary Disease, significant Cardiac Disease)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cholecystectomy in children | one year | Evaluate and the risk factors for conversion of laparoscopic to open cholecystectomy |
Outcome results
None listed