J Korean Assoc Pediatr Surg.  2016 Dec;22(2):42-48. 10.13029/jkaps.2016.22.2.42.

Trend of Pediatric Cholecystectomy: Clinical Characteristics and Indications for Cholecystectomy

• Han W
• Oh C
• Youn JK
• Han JW
• Byeon J
• Kim S
• Kim HY
• Jung SE

• KMID: 2363023
• DOI: http://doi.org/10.13029/jkaps.2016.22.2.42

Abstract

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.

Keyword

Pediatric; Cholecystectomy; Cholelithiasis

MeSH Terms

Body Mass Index
Cholecystectomy*
Cholecystectomy, Laparoscopic
Cholelithiasis
Comorbidity
Humans
Laparoscopy
Parenteral Nutrition, Total
Retrospective Studies
Risk Factors

Figure

• 

  Fig. 1 Annual incidence for pediatric cholecystectomy.

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