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"Soohong Kim"

Original Article

[English]
Trend of Pediatric Cholecystectomy: Clinical Characteristics and Indications for Cholecystectomy
Wonho Han, Chaeyoun Oh, Joong Kee Youn, Ji-Won Han, Jaeik Byeon, Soohong Kim, Hyun-Young Kim, Sung-Eun Jung
J Korean Assoc Pediatr Surg 2016;22(2):42-48.   Published online December 22, 2016
DOI: https://doi.org/10.13029/jkaps.2016.22.2.42
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.

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