{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T11:22:04Z","timestamp":1789730524122,"version":"4.0.1"},"reference-count":37,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2017,3,1]],"date-time":"2017-03-01T00:00:00Z","timestamp":1488326400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2017,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Few studies have assessed the impact of obesity on laparoscopic cholecystectomy (LC) in pediatric patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Children who underwent LC were identified from the 2012 to 2013 American College of Surgeons' National Surgical Quality Improvement Program Pediatrics data. Patient characteristics, operative details, and outcomes were compared. Multivariable logistic regression was utilized to identify predictors of increased operative time (OT) and duration of anesthesia (DOAn).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      In total, 1757 patients were identified. Due to low rates of obesity in children &lt;9 years old, analyses were limited to those 9\u201317 (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20091611, 43% obese). Among obese children, 80.6% were girls. A higher proportion of obese patients had diabetes (3.0% versus 1.0%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.01) and contaminated or dirty\/infected wounds (15.1% versus 9.4%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.01). Complication rates were low. The most frequent indications for surgery were cholelithiasis\/biliary colic (34.3%), chronic cholecystitis (26.9%), and biliary dyskinesia (18.2%). On multivariable analysis, obesity was an independent predictor of OT &gt;90 (odds ratio [OR] 2.02; 95% confidence interval [95% CI] 1.55\u20132.63), and DOAn &gt;140 minutes (OR 1.86; 95% CI 1.42\u20132.43).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Obesity is an independent risk factor for increased OT in children undergoing LC. Pediatric surgeons and anesthesiologists should be prepared for the technical and physiological challenges that obesity may pose in this patient population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2016.0167","type":"journal-article","created":{"date-parts":[[2016,11,22]],"date-time":"2016-11-22T16:27:46Z","timestamp":1479832066000},"page":"322-327","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Obesity Increases Operative Time in Children Undergoing Laparoscopic Cholecystectomy"],"prefix":"10.1177","volume":"27","author":[{"given":"T.K.","family":"Pandian","sequence":"first","affiliation":[{"name":"Mayo Clinic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel S.","family":"Ubl","sequence":"additional","affiliation":[{"name":"Mayo Clinic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth B.","family":"Habermann","sequence":"additional","affiliation":[{"name":"Mayo Clinic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher R.","family":"Moir","sequence":"additional","affiliation":[{"name":"Mayo Clinic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael B.","family":"Ishitani","sequence":"additional","affiliation":[{"name":"Mayo Clinic"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,3,1]]},"reference":[{"key":"e_1_3_2_2_2","first-page":"1","article-title":"Prevalence of obesity in the United States, 2009\u20132010","volume":"82","author":"Ogden CL","year":"2012","unstructured":"Ogden CL, , Carroll MD, , Kit BK, , Flegal KM. Prevalence of obesity in the United States, 2009\u20132010. NCHS Data Brief, 2012; 82:1\u20138.","journal-title":"NCHS Data Brief"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.295.13.1549"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2012.40"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2012.39"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2014.732"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2010.03.025"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa031049"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0b013e31824d256f"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2015.10.071"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(99)00063-X"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2006.02.053"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.mpg.0000187816.31213.06"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLE.0b013e318270473b"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2014.02.014"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000161044.20857.24"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2015.02.067"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000000051"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0b013e3182686230"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2013.01.053"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e31823dcbf7"},{"key":"e_1_3_2_22_2","first-page":"615","article-title":"The impact of age and sex adjusted body mass index (ISO-BMI) in obese versus non-obese children and adolescents with cholecystectomy","volume":"28","author":"Kiuru E","year":"2014","unstructured":"Kiuru E, , Kokki H, , Juvonen P, et al. The impact of age and sex adjusted body mass index (ISO-BMI) in obese versus non-obese children and adolescents with cholecystectomy. In Vivo, 2014; 28:615\u2013619.","journal-title":"In Vivo"},{"key":"e_1_3_2_23_2","unstructured":"American College of Surgeons' National Surgical Quality Improvement Program Pediatric (ACS NSQIP Pediatric) 2012. 2013. www.facs.org\/quality-programs\/pediatric\/program-specifics\/quality-support-tools\/puf (accessed June12 2015)."},{"key":"e_1_3_2_24_2","unstructured":"Centers for Disease Control and Prevention (CDC). BMI-for-age charts. www.cdc.gov\/growthcharts\/html_charts\/bmiagerev.htm (accessed April8 2015)."},{"key":"e_1_3_2_25_2","first-page":"1","article-title":"Use of World Health Organization and CDC growth charts for children aged 0\u201359 months in the United States","volume":"59","author":"Grummer-Strawn LM","year":"2010","unstructured":"Grummer-Strawn LM, , Reinold C, , Krebs NF. Use of World Health Organization and CDC growth charts for children aged 0\u201359 months in the United States. MMWR Recomm Rep, 2010; 59:1\u201315.","journal-title":"MMWR Recomm Rep"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-011-1978-5"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2008.08.018"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1973.01350200078018"},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(91)90361-Z"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-010-1550-8"},{"key":"e_1_3_2_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.anaerobe.2014.12.009"},{"key":"e_1_3_2_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2009.03.036"},{"key":"e_1_3_2_33_2","doi-asserted-by":"publisher","DOI":"10.1177\/0194599813482291"},{"key":"e_1_3_2_34_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0032-1329701"},{"key":"e_1_3_2_35_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckv213"},{"key":"e_1_3_2_36_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38470.670903.E0"},{"key":"e_1_3_2_37_2","first-page":"38","article-title":"BMI as a predictor for potential difficult tracheal intubation in males","volume":"2","author":"Uribe AA","year":"2015","unstructured":"Uribe AA, , Zvara DA, , Puente EG, , Otey AJ, , Zhang J, , Bergese SD. BMI as a predictor for potential difficult tracheal intubation in males. Front Med (Lausanne), 2015; 2:38.","journal-title":"Front Med (Lausanne)"},{"key":"e_1_3_2_38_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10877-015-9722-7"}],"container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/lap.2016.0167","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2016.0167","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2016.0167","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T12:16:19Z","timestamp":1779192979000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/lap.2016.0167"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,3,1]]},"references-count":37,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2017,3,1]]}},"alternative-id":["10.1089\/lap.2016.0167"],"URL":"https:\/\/doi.org\/10.1089\/lap.2016.0167","relation":{},"ISSN":["1092-6429","1557-9034"],"issn-type":[{"value":"1092-6429","type":"print"},{"value":"1557-9034","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,3,1]]}}}