Laparoscopic Cholecystectomy in Children

Kim, Hee Seong; Nam, So Hyun; Kim, Dae Yeon; Kim, Seong Chul; Kim, In Koo

doi:10.13029/jkaps.2006.12.2.213

Cited by 3 publications

(1 citation statement)

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“…In Korea, the reports on pediatric cholecystectomy for gallstone disease 13 14 15 16 are limited. The aim of this study was to describe our experience and characterize pediatric patients who underwent cholecystectomy for symptomatic gallstone disease unrelated to hemolytic disorder in a single center.…”

Section: Introductionmentioning

confidence: 99%

Pediatric cholecystectomy for symptomatic gallstones unrelated to hematologic disorder

Suh

Choi

Park

et al. 2016

Ann Hepatobiliary Pancreat Surg

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Backgrounds/AimsGallstones are being increasingly diagnosed in pediatric patients. The purpose of this study was to determine characteristics of pediatric patients who underwent cholecystectomy because of symptomatic gallstone disease unrelated to hemolytic disorder.MethodsWe reviewed cases of pediatric patients (under 18 years old) who underwent cholecystectomy between May 2005 and December 2015.ResultsA total 20 pediatric patients (under 18 years old) underwent cholecystectomy during the study period. One patient was excluded because cholecystectomy was performed due to gall stones caused by hemolytic anemia. The 19 cases comprised 9 male (47.3%) and 10 female (52.7%) subjects. The mean age was 14.9 years (range, 5-18), and 66.7% of patients were older than 12 years of age. Mean body weight was 65.0 kg (range, 13.9-93.3), and mean body mass index was 21.7 kg/m2 (range, 12.3-35.1), with 26.37% of patients being overweight. All 19 patients underwent laparoscopic cholecystectomy. There were no postoperative complications and no mortality. Comparison between overweight and non-overweight patients indicated that significantly more overweight patients had cholesterol stones (5/5 vs. 7/14, p=0.036) and were classified as complicated disease (3/5 vs. 1/14, p=0.037).ConclusionsThe more frequent occurrence of complications such as choledocholithiasis or gallstone pancreatitis, in overweight patients indicates the need for more careful evaluation and management in these patients. Pediatricians and surgeons should always consider gallstone disease in pediatric patients despite difficulty in suspecting symptomatic gallstones in cases who present with abdominal pain that is rarely clear-cut.

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Section: Introductionmentioning

confidence: 99%

Pediatric cholecystectomy for symptomatic gallstones unrelated to hematologic disorder

Suh

Choi

Park

et al. 2016

Ann Hepatobiliary Pancreat Surg

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A Detoxified Extract ofRhus vernicifluaStokes Upregulated the Expression of BDNF and GDNF in the Rat Brain and the Human Dopaminergic Cell Line SH-SY5Y

Sapkota

Kim

et al. 2010

Bioscience, Biotechnology, and Biochemistry

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Trend of Pediatric Cholecystectomy: Clinical Characteristics and Indications for Cholecystectomy

Han

Youn

et al. 2016

J Korean Assoc Pediatr Surg

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Purpose: Number of pediatric cholecystectomy has been recently showing a gradually increasing trend. The purpose of this study was to investigate the clinical features of patients who underwent pediatric cholecystectomy, and the latest trend in cholecystectomy. Methods: In the present study, we conducted a retrospective chart review on 47 patients who had undergone cholecystectomy at a single center. The entire patient population was divided into two groups, according to the time of cholecystectomy (early group, January 1999 to December 2006; late group, January 2007 to August 2014). Results:The comparison between the early and late groups showed that the number of cholecystectomy increased from 13 to 34 cases representing a 2.6-fold increase. The mean patient age also increased from 5.94±4.08 years to 10.51±5.57 years (p=0.01). Meanwhile, laparoscopic surgery also increased from 15.4% to 79.4%, respectively (p＜0.001). However, sex, mean body mass index, comorbidities, indications of cholecystectomy, and previous total parenteral nutrition were not statistically significant. Conclusion:The results of this study showed that pediatric cholecystectomy cases are increasing, particularly in the 10 to 19 years age group and laparoscopic cholecystectomies are also being performed at an increasing rate. When the patients were compared according to the time of cholecystectomy, there were no differences in other risk factors or indications for cholecystectomy.

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Laparoscopic Cholecystectomy in Children

Cited by 3 publications

References 0 publications

Pediatric cholecystectomy for symptomatic gallstones unrelated to hematologic disorder

Pediatric cholecystectomy for symptomatic gallstones unrelated to hematologic disorder

A Detoxified Extract ofRhus vernicifluaStokes Upregulated the Expression of BDNF and GDNF in the Rat Brain and the Human Dopaminergic Cell Line SH-SY5Y

Trend of Pediatric Cholecystectomy: Clinical Characteristics and Indications for Cholecystectomy

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