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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:
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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| A Group | Group of patient who underwent laparoscopic cholecystectomy using Airseal | ||
| S Group | Group of patient who underwent laparoscopic cholecystectomy using a standard insufflator |
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| 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 |
| Measure | Description | Time Frame |
|---|---|---|
| Operating time | Time-length of surgery | Perioperatively |
| Anesthetic time | Time-length of anesthesia | Perioperatively |
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Inclusion Criteria:
Exclusion Criteria:
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Patients adressed to the University Hospital
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clermont-Ferrand University Hospital | Clermont-Ferrand | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24503370 | Background | Hua J, Gong J, Yao L, Zhou B, Song Z. Low-pressure versus standard-pressure pneumoperitoneum for laparoscopic cholecystectomy: a systematic review and meta-analysis. Am J Surg. 2014 Jul;208(1):143-50. doi: 10.1016/j.amjsurg.2013.09.027. Epub 2014 Jan 16. | |
| 30159821 | Background | de'Angelis N, Petrucciani N, Giannandrea G, Brunetti F. The protocol of low-impact laparoscopic cholecystectomy: the combination of mini-laparoscopy and low-pressure pneumoperitoneum. Updates Surg. 2018 Dec;70(4):553-556. doi: 10.1007/s13304-018-0591-8. Epub 2018 Aug 29. |
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| ID | Term |
|---|---|
| D042882 | Gallstones |
| D002764 | Cholecystitis |
| ID | Term |
|---|---|
| D002769 | Cholelithiasis |
| D001660 | Biliary Tract Diseases |
| D004066 | Digestive System Diseases |
| D041761 | Cholecystolithiasis |
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| 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 |
| D005705 |
| Gallbladder Diseases |
| D002137 | Calculi |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |