General and Laparoscopic Surgeon, M.B Ch. B F.I.C.M.S, Member of the Iraqi Board of General Surgery, Alkarama Teaching Hospital, Baghdad, Iraq

Pediatric surgeon, Child Center Teaching Hospital, Department of Pediatric Surgery Baghdad, Iraq

Lecturer, Department of Clinical Pharmacy, College of Pharmacy, Mustansiriyah University, Baghdad, Iraq

*Corresponding Author: Lubab Tarek Nafea, Lecturer, Department of Clinical Pharmacy, College of Pharmacy, Mustansiriyah University, Baghdad, Iraq, Email: [email protected]

Received Date: 17 April, 2023

Published Date: 17 May, 2023

Citation: Mazyad MS, et al. (2023). The Outcomes of Laparoscopic Cholecystectomy in Children Compared to Adults: A Multiple Iraqi Centers Study. Mathews J Pharma Sci. 7(2):19.

Copyrights: Mazyad MS, et al. © (2023). 

ABSTRACT

Background: Laparoscopic cholecystectomy now is a proven technique intended for treating symptomatic gallstones or their complications which arises from gallstones. In excess of the last 15 years, gallbladder disease has become a very common problem for older children and young adolescents. Main causes for development of cholelithiasis in children were: hemolytic disease, especially sickle cell disease or hereditary spherocytosis. Non hemolytic stones in adults are primarily cholesterol-based. In younger children, many stones have predominantly calcium carbonate. Patients and Methods: This prospective cross-sectional study. All patients undergoing laparoscopic cholecystectomy were included while patients deferred by the anesthetist or undergoing open surgery were excluded from the study. The totals of 75 patients enrolled in this study were divided into two groups. Group I (n = 10) being child patients and Group II (n = 65) being adults patients who underwent laparoscopic cholecystectomy. This study was approved by Institutional Ethical Committee. Informed consent was obtained from all the participants. Result: According to the collected data which showed that the percentage of gallbladder stones higher in female than male and for group 2 in values (81.3%). 60% of patients presented with history of vague abdominal pain, 45% of patients and Serum cholesterol was found within the normal range for both groups (13.3%, 52.0%). Percentage of patients with wound infection and abdominal distension was significantly higher in open surgery as likened to laparoscopic surgery. Moreover, post-operative morbidity rates were reported to be higher in open surgery as compared to laparoscopic surgery. Conclusion: Laparoscopic cholecystectomy is a safe and effective procedure in almost all patients with cholelithiasis especially now for children. Proper preoperative work up and consciousness for any possible complications and adequate training styles this operation a safe procedure with favorable result and lesser complications.

Keywords: Cholelithiasis; gallbladder stones; gallstone disease; Laparoscopic cholecystectomy