| Laparoscopic cholecystectomy versus open cholecystectomy in children: which is better? | |
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MedLine Citation:
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PMID: 7472955 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Twenty-nine consecutive laparoscopic cholecystectomies (LC) performed between April 1992 and December 1993 were compared with 23 consecutive open cholecystectomies (OC) performed between January 1991 and March 1992 with regard to clinical, surgical, and economic factors. Most patients were Caucasian (> 70%), and symptomatic nonhemolytic cholelithiasis was the most common indication for cholecystectomy. The introduction of LC did not significantly increase the number of cholecystectomies performed per annum. There is a learning curve to LC: the average length of operative time required during the first year was significantly longer than that of OC and the average time for LC during the second year (P < .01). By the second year, the average operative time of LC was not significantly different from OC. There was no conversion from LC to OC, and the complication rate was minor in both groups. The postoperative parenteral analgesic requirement for LC was significantly less than OC (P < .01). The mean length of hospitalization of LC was about three times shorter than that of OC (P < .01). Although the average operating cost per case of LC was significantly more expensive than OC, LC was significantly cheaper because the period of hospitalization was significantly shortened (P < .01). In conclusion, LC is the procedure of choice in the treatment of symptomatic cholelithiasis in children. |
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Authors:
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P C Kim; D Wesson; R Superina; R Filler |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Journal of pediatric surgery Volume: 30 ISSN: 0022-3468 ISO Abbreviation: J. Pediatr. Surg. Publication Date: 1995 Jul |
Date Detail:
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Created Date: 1995-12-04 Completed Date: 1995-12-04 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0052631 Medline TA: J Pediatr Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 971-3 Citation Subset: IM |
Affiliation:
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Department of Surgery, Hospital for Sick Children, Toronto, Ontario, Canada. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Analgesics / administration & dosage Anti-Bacterial Agents / therapeutic use Chemoprevention Child Child, Preschool Cholangiography Cholecystectomy* / adverse effects, economics, methods Cholecystectomy, Laparoscopic* / adverse effects, economics, methods Cholelithiasis / surgery Female Hospital Costs Hospitals, Pediatric / economics Humans Infant Length of Stay / economics Male Pain, Postoperative / prevention & control Retrospective Studies Time Factors |
| Chemical | |
Reg. No./Substance:
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0/Analgesics; 0/Anti-Bacterial Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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