Laparoscopic cholecystectomy in children

Abstract

In 95 children (age 6-18 y) treated for gallstones between 2002-2010, 95 laparoscopic cholecystectomies were carried out. Symptomatic cholecystolithiasis was the indication for laparoscopic cholecystectomy in most of the cases. In three patients, there was a conversion to open cholecystectomy. Postoperative complications due to failure of bile drainage arose in three patients. Restored bile drainage was secured for two biliodigestive anastomosis. Bile leak in a third patient solved a temporary biliary stent. Laparoscopic cholecystectomy is the gold standard for gallstones (Ref. 8). Full Text in PDF www.elis.sk.

Feasibility and outcomes of 3-port laparoscopic cholecystectomy in the pediatric population

“…The port locations for 3-port approach were similar to our technique, including an umbilical port for the camera, a subxyphoid port for the dissector, and a third one in the right lower quadrant for the grasping clamp and the extraction of the gallbladder. 6 Authors considered the 3-port approach to be mostly sufficient for cholecystectomy with a need for conversion to open cholecystectomy in 3 patients and postoperative complications due to failure of bile drainage in 3 patients (6). Accordingly, our findings are consistent with findings from published series of pediatric patients indicating efficacy and safety of laparoscopic cholecystectomy that results in short postoperative hospital stay and low complication rates (6)(7)(8)(9)14).…”

“…6 Authors considered the 3-port approach to be mostly sufficient for cholecystectomy with a need for conversion to open cholecystectomy in 3 patients and postoperative complications due to failure of bile drainage in 3 patients (6). Accordingly, our findings are consistent with findings from published series of pediatric patients indicating efficacy and safety of laparoscopic cholecystectomy that results in short postoperative hospital stay and low complication rates (6)(7)(8)(9)14). Our findings also support the higher prevalence of idiopathic cholelithiasis as well as the association of cholelithiasis, particularly pigment stones containing bilirubin salts, with hemolytic disorders in the pediatric population (7,8,(14)(15)(16)(17) and the safety of laparoscopic cholecystectomy in the case of symptomatic cholelithiasis in pediatric patients with hemolytic disorders (5,18).…”

“…In a retrospective case series of 95 children (age 6-18 y) treated with laparoscopic cholecystectomies (3 port approach in 76 cases, 4-port approach in 19 cases), symptomatic cholelithiasis was reported to be the leading indication for laparoscopic cholecystectomy (6).…”

“…Elective treatment of symptomatic cholelithiasis is cholecystectomyacknowledged today as the "gold standard".It is associated with lower risk of adhesion providing a thorough visualization of abdominal cavity and an earlier mobilization of the patient compared to the traditional open cholecystectomy (3,6).…”

Laparoscopic Cholecystectomy in a Child Using Slender Forceps

“…Laparoscopy in children is challenging as surgeons have to work in a restricted space with low pressure pneumoperitoneum [1]. Single port laparoscopy using slender forceps is increasingly practiced nowadays [2]. In pediatric laparoscopic surgery, slender forceps are useful in performing appendectomy, colectomy, and inguinal hernia repair [3].…”