Is Perioperative Cholangiography Necessary in Children Undergoing Elective Laparoscopic Cholecystectomy?

Mattioli, Girolamo; Prato, Alessio Pini; Castagnetti, Marco; Gandullia, Paolo; Tomà, Paolo; Jasonni, Vincenzo

doi:10.1055/s-2007-965146

Cited by 14 publications

(9 citation statements)

References 11 publications

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“…Mattioli et al [17] have reported that the incidence of sub clinical co mmon bile duct stones is low in children. This finding has also been described in a small prospective pediatric study [18].…”

Section: Discussion:-supporting

confidence: 84%

Laparoscopic Management of Pediatric Gall Stone Disease.

Shahat¹

2018

IJAR

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Objecti ve: to describe our experience in evaluating the role of laparoscopic cholecystectomy (LC) in management of gallstone disease in children. Methods: A p rospective study carried out on 20 patients with calculercholecystitis who were ad mitted to the hospital between September 2015 and May 2017 fo r laparoscopic cholecystectomy using four ports. Results: Twelve children (60%) were males and eight children (40%) were females. The mean age was 7 years (range 1 to 13 years). eighteen (90%) children had typical symptoms and two (10%) child ren had asymptomatic gallstones. Seventeen children underwent elective LC and three children were taken up for emergency LC. Postoperative complications occurred in two (10%) patients. one child had postoperative fever for two days, which resolved with intravenous antibiotics. The other One had serous discharge fro m the tube drain, which resolved spontaneously. Conclusions: Laparoscopic cholecystectomy (LC) is confirmed to be a safe and efficacious treatment modality for pediatric gallstones especially when it is performed by an experienced surgeon. It is associated with less pain, fewer complications, and faster recovery than open procedures. There is increasing incidence of nonhaemolyticcholelithiasis.

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Section: Discussion:-supporting

confidence: 84%

Laparoscopic Management of Pediatric Gall Stone Disease.

Shahat¹

2018

IJAR

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“…[1] This finding has also been described in a small prospective pediatric study. [7] In the present series, as there was no evidence of common bile duct stones or altered liver function tests preoperatively in any of the patients, intraoperative cholangiogram was not done. None of the patients had evidence of residual ductal stones during the follow-up period.…”

Section: Discussionmentioning

confidence: 85%

Laparoscopic cholecystectomy for cholelithiasis in children

Gowda

Agarwal

Bagdi

et al. 2009

J Indian Assoc Pediatr Surg

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Aim:To evaluate the role of laparoscopic cholecystectomy (LC) in the management of cholelithiasis in children.Methods:A retrospective review of our experience with LC for cholelithiasis at our institution, between April 2006 and November 2008, was done. Data included patient demographics, clinical history, hematological investigations, imaging studies, operative technique, postoperative complications, postoperative recovery, and final histopathological diagnosis.Results:During the study period of 32 months, 18 children (8 males and 10 females) with cholelithiasis were treated by LC. The mean age was 9.4 years (range 3–18). Seventeen children had symptoms of biliary tract disease and 1 child had incidentally detected cholelithiasis during an ultrasonography of abdomen for unrelated cause. Only 5 (27.8%) children had definitive etiological risk factors for cholelithiasis and the remaining 13 (75.2%) cases were idiopathic. Sixteen cases had pigmented gallstones and 2 had cholesterol gallstones. All the 18 patients underwent LC, 17 elective, and 1 emergency LC. The mean operative duration was 74.2 min (range 50–180). Postoperative complications occurred in 2 (11.1%) patients. The average duration of hospital stay was 4.1 days (range 3–6).Conclusion:Laparoscopic chloecystectomy is a safe and efficacious treatment for pediatric cholelithiasis. The cause for increased incidence of pediatric gallstones and their natural history needs to be further evaluated.

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“…[1] This finding has also been described in a small prospective pediatric study. [12] In the present series, as there was no evidence of common bile duct stones or altered liver function tests preoperatively in any of the patients, an intraoperative cholangiogram was not done. None of the patients had any evidence of residual ductal stones during the follow up period.…”

Section: Discussionmentioning

confidence: 88%

Pediatric cholelithiasis and laparoscopic management: A review of twenty two cases

et al. 2009

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AIM:To evaluate the role of laparoscopic cholecystectomy (LC) in the management of cholelithiasis in children.MATERIALS AND METHODS:A retrospective review of our experience with LC for cholelithiasis at our institution, between April 2006 and March 2009 was done. Data points reviewed included patient demographics, clinical history, haematological investigations, imaging studies, operative techniques, postoperative complications, postoperative recovery and final histopathological diagnosis.RESULTS:During the study period of 36 months, 22 children (10 males and 12 females) with cholelithiasis were treated by LC. The mean age was 9.4 years (range 3 to 18 years). Twenty-one children had symptoms of biliary tract disease and one child was incidentally detected with cholelithiasis during an ultrasonogram of the abdomen for an unrelated cause. Only five (22.7%) children had definitive etiological risk factors for cholelithiasis and the remaining 13(77.3%) cases were idiopathic. Twenty cases had pigmented gallstones and two had cholesterol gallstones. All the 22 patients underwent LC, 21 elective and one emergency LC. The mean operative duration was 74.2 minutes (range 50-180 minutes). Postoperative complications occurred in two (9.1%) patients. The average duration of hospital stay was 4.1 days (range 3-6 days).CONCLUSION:Laparoscopic chloecystectomy is confirmed to be a safe and efficacious treatment for pediatric cholelithiasis. The cause for an increased incidence of pediatric gallstones and their natural history need to be further evaluated.

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Is Perioperative Cholangiography Necessary in Children Undergoing Elective Laparoscopic Cholecystectomy?

Abstract: Patients scheduled for elective LC presenting with unremarkable clinical examination, normal liver biochemistry and serum amylase levels, and without dilatation of the biliary tree on ultrasound scan do not need pre- or intra-operative cholangiography.

Cited by 14 publications

References 11 publications

Laparoscopic Management of Pediatric Gall Stone Disease.

Laparoscopic Management of Pediatric Gall Stone Disease.

Laparoscopic cholecystectomy for cholelithiasis in children

Pediatric cholelithiasis and laparoscopic management: A review of twenty two cases

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