Laparoscopic Cholecystectomy in Children. Risk Factors for Conversion. A Prospective Study .
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 40
- 主要终点
- Cholecystectomy in children
研究概览
简要总结
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.
详细描述
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 .
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 1 Year 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Patients with age less than 18 years old presented to assiut university hospitals at pediatric surgeey unit.
- •fit for surgery
排除标准
- •patients with co-existent common bile duct stones based on imaging and biochemical criteria.
- •Patients with Pancreatitis .
- •Patients with previous upper abdominal surgery.
- •5_Significant medical disease rendering patient unfit for Laparoscopic surgery (e.g. Chronic Pulmonary Disease, significant Cardiac Disease)
结局指标
主要结局
Cholecystectomy in children
时间窗: one year
Evaluate and the risk factors for conversion of laparoscopic to open cholecystectomy
次要结局
未报告次要终点
研究者
Mahmoud Mohamed Korashy
primary investigator
Assiut University