Safety of laparoscopic cholecystectomy in children using conventional instruments in a general teaching hospital by general surgeons: 14 years review

Introduction: There is limited specialist facility and lack of data on gallstone and laparoscopic cholecystectomy (LC) in children locally and in the region. With one government children hospital in Nepal, specialist service is far from adequate. Utilizing existing facilities to provide service is...

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Autores principales:	Shantabir Maharjan, Jay Narayan Shah, Rajan Gurung, Shailedra Shah, Rajesh Mandal, Reetu Baral
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2017
Materias:	General surgeons General teaching hospital laparoscopic cholecystectomy in children safety profile Surgery RD1-811
Acceso en línea:	https://doaj.org/article/7590d15fe2f541689ac3e511419da4d4
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spelling	oai:doaj.org-article:7590d15fe2f541689ac3e511419da4d42021-12-05T19:16:12ZSafety of laparoscopic cholecystectomy in children using conventional instruments in a general teaching hospital by general surgeons: 14 years review10.3126/jssn.v20i1.243861815-39842392-4772https://doaj.org/article/7590d15fe2f541689ac3e511419da4d42017-06-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/24386https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Introduction: There is limited specialist facility and lack of data on gallstone and laparoscopic cholecystectomy (LC) in children locally and in the region. With one government children hospital in Nepal, specialist service is far from adequate. Utilizing existing facilities to provide service is the need. We analyzed 14 years data to look in to the safety of LC in children provided by general surgeons in a general teaching hospital with conventional LC instruments used for adults. Methods: This descriptive review included children up to 14 y of age who had cholecystectomy during 14 y period from 2002 to 2015. Data on sex, age; clinical and ultrasonography findings; risk factors for gallstone; types of surgeries; bile duct injury, would infection and in-hospital mortality were analyzed. Results: There were 61 children, 0.8% of total 7469 cholecystectomy during 14 years study period. Average age was 9 years and females were 56 (84%). Out of 58-attempted LC, 56 were completed successfully. All children had history of right upper quadrant pain. Two presented with acute calculous cholecystitis. We did not find associated risk factors for stones. There was no bile duct injury. One wound infection occurred in LC converted to open. In-hospital mortality was nil. Conclusion: Cholelithiasis and cholecystectomy in children was low at 0.8% of total. With 3.4% conversion, no bile duct injury, no hospital mortality LC was safely provided by general surgeon in a general hospital using conventional facility. Shantabir MaharjanJay Narayan ShahRajan GurungShailedra ShahRajesh MandalReetu BaralSociety of Surgeons of NepalarticleGeneral surgeonsGeneral teaching hospitallaparoscopic cholecystectomy in childrensafety profileSurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 20, Iss 1 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	General surgeons General teaching hospital laparoscopic cholecystectomy in children safety profile Surgery RD1-811
spellingShingle	General surgeons General teaching hospital laparoscopic cholecystectomy in children safety profile Surgery RD1-811 Shantabir Maharjan Jay Narayan Shah Rajan Gurung Shailedra Shah Rajesh Mandal Reetu Baral Safety of laparoscopic cholecystectomy in children using conventional instruments in a general teaching hospital by general surgeons: 14 years review
description	Introduction: There is limited specialist facility and lack of data on gallstone and laparoscopic cholecystectomy (LC) in children locally and in the region. With one government children hospital in Nepal, specialist service is far from adequate. Utilizing existing facilities to provide service is the need. We analyzed 14 years data to look in to the safety of LC in children provided by general surgeons in a general teaching hospital with conventional LC instruments used for adults. Methods: This descriptive review included children up to 14 y of age who had cholecystectomy during 14 y period from 2002 to 2015. Data on sex, age; clinical and ultrasonography findings; risk factors for gallstone; types of surgeries; bile duct injury, would infection and in-hospital mortality were analyzed. Results: There were 61 children, 0.8% of total 7469 cholecystectomy during 14 years study period. Average age was 9 years and females were 56 (84%). Out of 58-attempted LC, 56 were completed successfully. All children had history of right upper quadrant pain. Two presented with acute calculous cholecystitis. We did not find associated risk factors for stones. There was no bile duct injury. One wound infection occurred in LC converted to open. In-hospital mortality was nil. Conclusion: Cholelithiasis and cholecystectomy in children was low at 0.8% of total. With 3.4% conversion, no bile duct injury, no hospital mortality LC was safely provided by general surgeon in a general hospital using conventional facility.
format	article
author	Shantabir Maharjan Jay Narayan Shah Rajan Gurung Shailedra Shah Rajesh Mandal Reetu Baral
author_facet	Shantabir Maharjan Jay Narayan Shah Rajan Gurung Shailedra Shah Rajesh Mandal Reetu Baral
author_sort	Shantabir Maharjan
title	Safety of laparoscopic cholecystectomy in children using conventional instruments in a general teaching hospital by general surgeons: 14 years review
title_short	Safety of laparoscopic cholecystectomy in children using conventional instruments in a general teaching hospital by general surgeons: 14 years review
title_full	Safety of laparoscopic cholecystectomy in children using conventional instruments in a general teaching hospital by general surgeons: 14 years review
title_fullStr	Safety of laparoscopic cholecystectomy in children using conventional instruments in a general teaching hospital by general surgeons: 14 years review
title_full_unstemmed	Safety of laparoscopic cholecystectomy in children using conventional instruments in a general teaching hospital by general surgeons: 14 years review
title_sort	safety of laparoscopic cholecystectomy in children using conventional instruments in a general teaching hospital by general surgeons: 14 years review
publisher	Society of Surgeons of Nepal
publishDate	2017
url	https://doaj.org/article/7590d15fe2f541689ac3e511419da4d4
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Safety of laparoscopic cholecystectomy in children using conventional instruments in a general teaching hospital by general surgeons: 14 years review

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