Laparoscopic Cholecystectomy Using Airseal in Children

Study Overview
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Brief Summary
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The goal of this observational study is to compare the use of Airseal versus a standard insufflation, in children who underwent laparoscopic cholecystectomy, between January 2021 and December 2022. The main questions it aims to answer are: amount of analgesics consumed postoperatively mean digital pain scale Data are directly extracted from patients medical files. The investigators will compare the Airseal group (A group) to the Standard insufflation group (S group) to see if the A group consumes significatively less analgesics and are less painful than the S group.

Detailed Description
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Choosing to enter the A or the S group depends on the surgeon's choice. Only the surgeon, the anesthetic and the nurses in the operating room know which type of insufflation has been chosen.

Official Title
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Low-Pressure Laparoscopy Using the Airseal System Versus Standard Insufflation in Cholecystectomy in Children: A Monocentric Retrospective Study

Conditions
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Gall Stones (& [Calculus - Gall Bladder]), Cholecystitis, Acute, Cholecystitis, Chronic, Pancreatitis Due to Gallstones, Child, Only

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients aged under 18 years old Who underwent laparoscopic cholecystectomy From January 2021 to December 2022 Exclusion Criteria: Patients older than 18 years old

Ages Eligible for Study
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Maximum Age: 17 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| A Group<br>Group of patient who underwent laparoscopic cholecystectomy using Airseal | |
| S Group<br>Group of patient who underwent laparoscopic cholecystectomy using a standard insufflation | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Amount of analgesics consumed | Number of takings postoperatively | From the end of surgery to the discharge home, up to 20 days | 
| Mean Digital Pain Scale | Digital Pain Scale: minimum is 0 out of 10 (which means no pain) and maximum is 10 out of 10 (which means very painful). Higher scores mean worse outcomes. | From the end of surgery to the discharge home, , up to 20 days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Operating time | Time-length of surgery | Perioperatively | 
| Anesthetic time | Time-length of anesthesia | Perioperatively | 
| Length of stay | Hospital length of stay | From the day of hospitalization to the day of discharge home, up to 20 days | 
| Histological results | Analysis of the gall bladder after removal | between 2 weeks and 4 weeks after surgery | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Cholecystectomy, Laparoscopy, Airseal, Valveless Trocar, Standard Insufflation, Retrospective Study