Irish Child Health Database - Peer Reviewed Papers
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Minilaparotomy cholecystectomy in children
Published in:
Ir J Med Sci, Vol: 176, Page: 97-100
Publication Date:
2007 Jul-Sep
Aims & Objectives:
This study examined the use of minilaparotomy cholecystectomy in children as a useful alternative to paediatric laparoscopic cholecystectomy - thus avoiding the added cost of disposable laparoscopic equipment.
Abstract:
AIM: Scarcity of paediatric cholelithiasis limits the obtainable experience in paediatric laparoscopic cholecystectomy (LPC). We report minilaparotomy cholecystectomy (MLC) in children which may be a useful alternative to LPC avoiding the added cost of disposable laparoscopic equipment. METHODS: Nineteen cases underwent a retrograde MLC using a 2-4 cm transverse right upper quadrant incision. Various parameters were assessed. RESULTS: Mean age at presentation was 10.87 years, mean length of the incision 2.8 cm, mean operative time 36.5 min, mean analgesic requirement 2 days, mean time to feed/ mobilize 1 day each, and mean duration of hospital stay was 2.7 days. All had satisfactory cosmetic result without postoperative complications. CONCLUSIONS: MLC in children involves a small incision, excellent cosmetic scar and rapid postoperative recovery at relatively low cost. It is a good alternative to LPC.
Authors:
Study Type:
Study Papers » Case Series Study » Descriptive Studies - Without a comparision
Categories:
cholecystectomy
International Classification:
Procedure - cholecystectomy
Keywords:
- Child
- Cholecystectomy/ methods
- Cholecystitis/surgery
- Cholelithiasis/surgery
- Chronic Disease
- Female
- Humans
- Laparotomy/methods
- Length of Stay
- Male
- Treatment Outcome
Geography:
Republic of Ireland (Dublin)