Laparoscopic Cholecystectomy in Children. Risk Factors for Conversion. A Prospective Study .

Assiut University

Status: Not yet enrolling

Conditions: Laparoscopic Cholecystectomy in Children

Treatments: Procedure: laparscopic Cholecystectomy in children

Study type: Interventional

Funder types: Other

Identifiers

NCT06048029

Cholecystectomy

Details and patient eligibility

About

Cholecystectomy is the most common procedure in biliary surgery which may be open or laparoscopic.laparoscopic cholecystectomy is widely accepted as the gold standard technique in both adults and children .over recent years there has been a significant increase in paediatric cholecystectomies alongside a rising incidence of childhood gall stones.

Full description

The majority of paediatric gallstones are related to haemolytic diseases such as hereditary spherocytosis. In recent decades, the incidence of gallstone disease in children has risen which may be related to the epidemic of paediatric obesity and improved survival of critically ill neonates who have received long-term total parenteral nutrition or correction of abnormalities resulting in increased incidence of cholelithiasis in the paediatric population such as short gut syndrome.The rate of conversion to open cholecystectomy ranges between 2% and 20%. Certain preoperative and operative factors can reliably predict the chances of conversion to the open procedure. Until recently large studies are lacking of assessment of the risk factors that my be responsible for conversion of laparoscopic cholecystectomy to open cholecystectomy . This study aims to assess preoperative and operative risk factors for conversion to open surgery .

Enrollment: 40 estimated patients

Sex: All

Ages: 1 to 18 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. Patients with age less than 18 years old presented to assiut university hospitals at pediatric surgeey unit.
2. fit for surgery

Exclusion criteria

1. patients with co-existent common bile duct stones based on imaging and biochemical criteria.
2. Patients with Pancreatitis .
3. Patients with previous upper abdominal surgery.

5_Significant medical disease rendering patient unfit for Laparoscopic surgery (e.g. Chronic Pulmonary Disease, significant Cardiac Disease)

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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40 participants in 2 patient groups

Laparoscopic Cholecystectomy in children

Other group

Description:

Evaluate preoperative and operative risk factors for laparoscopic cholecystectomy compared to open cholecystetcomy

Treatment:

Procedure: laparscopic Cholecystectomy in children

Open Cholecystectomy in children

Other group

Description:

Evaluate preoperative and operative risk factors for open cholecystectomy compared to laparoscopic cholecystetcomy

Treatment:

Procedure: laparscopic Cholecystectomy in children