Feasibility and outcomes of 3-port laparoscopic cholecystectomy in the pediatric population

Year 2019, Volume: 5 Issue: 2, 1518 - 1527, 15.08.2019

Mustafa Erman Dörterler , Tansel Günendi

https://doi.org/10.30569/adiyamansaglik.546757

Abstract

Objective: The objective of this
retrospective study was to describe our experience with 3-port laparoscopic
cholecystectomy in a total 20 pediatric patients.

Method: Data on patient demographics,
indication for cholecystectomy, surgical technique, operative time (minutes),
complications and length of hospital stay (LOS, day) were recorded.

Result: Mean (SD) operative
time was 44.8  (9.5, range: 30.0-60.0)
minutes and LOS was 2.1(1.2, range: 1.0-5.0) days. Surgery was successful in
all patients without development of major complications. Apart from
significantly shorter operative time in patients with cholelithiasis than those
with other indications for laparoscopic cholecystectomy (median 42.2 vs. 55.0
min, p=0.001), no significant difference was noted in age, operative time and
LOS with respect to gender or indications.

Conclusion: Our findings indicate safety and
efficacy and feasibility of 3-port laparoscopic cholecystectomy in the
pediatric population, regardless of indication or gender along with significant
advantages regarding the operative time, complication rates and hospital stay.

 

Keywords

Laparoscopic cholecystectomy, pediatric population, cholelithiasis, hospital stay, complications

Feasibility and outcomes of 3-port laparoscopic cholecystectomy in the pediatric population

Abstract

Objective: The objective of this
retrospective study was to describe our experience with 3-port laparoscopic
cholecystectomy in a total 20 pediatric patients.

Method: Data on patient demographics,
indication for cholecystectomy, surgical technique, operative time (minutes),
complications and length of hospital stay (LOS, day) were recorded.

Result: Mean (SD) operative
time was 44.8  (9.5, range: 30.0-60.0)
minutes and LOS was 2.1(1.2, range: 1.0-5.0) days. Surgery was successful in
all patients without development of major complications. Apart from
significantly shorter operative time in patients with cholelithiasis than those
with other indications for laparoscopic cholecystectomy (median 42.2 vs. 55.0
min, p=0.001), no significant difference was noted in age, operative time and
LOS with respect to gender or indications.

Conclusion: Our findings indicate safety and
efficacy and feasibility of 3-port laparoscopic cholecystectomy in the
pediatric population, regardless of indication or gender along with significant
advantages regarding the operative time, complication rates and hospital stay.

Keywords

Laparoscopic cholecystectomy, pediatric population, cholelithiasis, hospital stay, complications

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