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Table 3 Management of complicated cholelithiasis

From: Cholelithiasis and cholecystitis in children and adolescents: Does this increasing diagnosis require a common guideline for pediatricians and pediatric surgeons?

 

Pediatric surgery, complicated cases (n = 11, 32% of pediatric surgery group)

Visceral surgery, complicated cases (n = 22, 42% of visceral surgery group)

p value

Test

Age at surgery [in years: median (range)]

14 (7–17)

23 (18–25)

  

Index admission [n (%)]

  

 < 0.001*

Fisher

 Internal/pediatric medical

8 (73%)

7 (32%)

  

 Surgical/pediatric surgical

3 (27%)

15 (68%)

  

Time of symptoms [median (range)]

58 days (4 days–41 months)

11 days (1 day–31 months)

0.119

U test

Complications [n (%), multiple answers possible]

    

 Acute cholecystitis

8 (73%)

20 (91%)

0.304

Fisher

 Choledocholithiasis

6 (55%)

5 (23%)

0.117

Fisher

 Biliary pancreatitis

8 (73%)

3 (14%)

0.001*

Fisher

 Time between diagnosis and surgery [median (range)]

22 days (4 days–8 months)

3 days (0 days–10 months)

0.003*

U test

Timing of surgery after diagnosis [n (%)]

  

 < 0.001*

Fisher

 Surgery within day 0–4

1 (9%)

17 (77%)

  

 Surgery within day 5–42

6 (55%)

1 (5%)

  

 Surgery day > 42

4 (36%)

4 (18%)

  

C-reactive protein (CrP) at surgery [in mg/l: median (range)]

1 (0–167)

30 (0–221)

0.004*

U test

Number of hospital days after surgery [in days: median (range)]

3 (3–8)

3 (2–11)

0.401

U test

  1. Management of complicated cholelithiasis in comparison of patients of the pediatric surgery group (children and adolescents) with patients of the visceral surgery group (adolescents and young adults aged ≤ 25 years)
  2. Significant values are indicated by an asterisk