StayCurrentMD · Lessons Learned After 101 Cases of Single-Site Magnetic-Assisted Cholecystectomy in Children
Article1 min read·Published Nov 2019Older

Lessons Learned After 101 Cases of Single-Site Magnetic-Assisted Cholecystectomy in Children

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Article · Nov 2019 · 1 min read

In brief

In brief

Retrospective analysis of 101 pediatric magnetic-assisted single-site cholecystectomies demonstrates the technique's safety and feasibility in children aged 4-19 years, primarily for symptomatic cholelithiasis. Operative time decreased significantly with surgeon experience, averaging 85 minutes with minimal complications.

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Abstract

Background / Purpose

The aim of this report is to present our experience with a magnetic-assisted single-site cholecystectomy technique ("magnachole") in pediatric patients.

Methods

We performed a retrospective chart review of all patients who underwent magnachole between 2009 and 2019. We evaluated patients' demographics, diagnosis, operative time, complications, conversion rate and length of stay. Additionally, simple lineal regression analysis was conducted to determine if the surgeon's experience, the patient's age at surgery, the patient's gender or the patient's body weight affected operative time.

Results

A total of 101 patients were operated during the analyzed period. The mean age at surgery was 12.6 (range 4 to 19) years, and the mean body weight was 53.7 (range 13.5 to 123) kg. The most frequent indication (91%) was symptomatic cholelithiasis. Mean operative time was 85 (range 45 to 240) min. The mean operative time decreased by 22.7 min (p 

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