| Autor: |
Iacob, R. E., Popoiu, M. C., David, V. L., Vasilie, D. V., Stanciulescu, Corina, Stretcu, Lavinia, Nyiredi, Alexandra, Boia, E. S. |
| Předmět: |
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| Zdroj: |
Jurnalul Pediatrului; Jul-Dec2015, Vol. 18 Issue 71/72, p38-40, 3p |
| Abstrakt: |
Introduction. Gallstone is a common disease in adults especially in fat people and is rarely seen in children. The aim of this study is to present our preliminary experiences and outcomes in pediatric laparoscopic cholecystectomy. Materials and methods. The first 18 gallstones patients operated in the Pediatric Surgery Department of the Clinical Emergency Hospital for Children "Louis Turcanu" Timisoara - Romania were analyzed between (January 2013 - present). Data was collected on age, weight, gender, Body Mass Index (BMI), comorbidities, time of surgery, number of ports used, using of drain and antibiotics. Results and discussions. The study included 14 females and 4 males patient with age ranging from 2-17 years (mean 12.7). The weight of the patients ranged between 12-73 kg (mean 49.9) with BMI ranging between 16.8-28.2 (mean 21.3). Three patients were overweight, however obesity and morbid obesity was absent in this cohort. With regards to the pathology: : 2 patients presented hypercholesterolemia, 1 patient had anemia, 1 patient cystitis, and another presented muscular dystrophy with 13 patients having no associated pathology. Out of the whole lot of patients 4 patients presented cholecystitis and one associated jaundice. In 8 patients a 3-port technique was used, while a 4-port procedure was preferred in 10 patients. Drains were placed and antibiotics administered in all patients. The most commonly used antibiotic was Ampicillin. Mean number of postop days was 4.41. Conclusions. Interesting in our cohort was that obesity did not play a role in gallstones. Technical skills were improved during our learning curve in cholecystectomy. Our data was comparable to most other series in their learning curve. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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