Laparoscopic cholecystectomy in children with chronic hemolytic anemia

Currò, Giuseppe; Iapichino, Giuliano; Lorenzini, C; Palmeri, R; Cucinotta, Eugenio

doi:10.1007/s00464-005-0318-z

Cited by 45 publications

(44 citation statements)

References 17 publications

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“…Proper preoperative work up, knowledge of possible complications and adequate training makes this operation a safe procedure with favorable result and lesser complications 41 . Curro et al, recommend elective early laparoscopic cholecystectomy in children with chronic hemolytic anemia and asymptomatic cholelithiasis in order to prevent the potential complications of cholecystitis and choledocholithiasis which lead to major risks, discomfort and longer hospital stay 42 . The British guidelines for management of hereditary spherocytosis recommended that; in children undergoing splenectomy, the gall bladder should be removed concomitantly if there are symptomatic gallstones.…”

Section: Resultsmentioning

confidence: 99%

Outcome of cholelithiasis in Sudanese children with Sickle Cell Anaemia (SCA) after 13 years follow-up

Attalla¹,

Karrar²,

Ibnouf³

et al. 2013

Af Hlth Sci

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Background: SCA causes chronic haemolysis which is a risk factor for cholelithiasis. Objective: To determine the prevalence and outcome of children with SCA complicated with gallstones treated at the sickle cell clinic at the children emergency hospital Khartoum state. Methods: 261 patients age 4 months to 16 years were studied. AUS examination was carried out. The 30 patients in whom gall stones were detected followed prospectively from June 1996 to September 2009 when a second AUS examination was obtained.Results: Gall stones occurred in 30 patients of whom four were lost to follow up in the first year. The overall prevalence of cholelithiasis was 11.5% and it increased with age. The youngest patient with cholelithiasis was 2 1/2 years old. Haematological variables, bilirubin and sex did not identify a subgroup of patients at higher risk for gallstones. All the patients were asymptomatic at the time of diagnosis. One patient developed symptoms 3years after the diagnosis and he was submitted to surgery. The 25 remaining asymptomatic patients were followed up for 13 years and none of them presented complications related to cholelithiasis during this period. Conclusion: The prevalence of cholelithiasis in Sudanese children and adolescents with SCA was significant. The large majority patients remained asymptomatic over a long period. African Health Sciences 2013; 13(1): 154 -159 http://dx.doi.org/10.4314/ahs.v13i1.21

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Section: Resultsmentioning

confidence: 99%

Outcome of cholelithiasis in Sudanese children with Sickle Cell Anaemia (SCA) after 13 years follow-up

Attalla¹,

Karrar²,

Ibnouf³

et al. 2013

Af Hlth Sci

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“…However in another study of laparoscopic cholecystectomy, the mean age was 43.7 years with a female to male ratio of 4.5:1.7. In another clinical study of 281 cases of laparoscopic cholecystectomy, there were 140 men and 141 women with a mean age of 56.9 years (range 23-89 years) 9,10 . In this study, among the total 172 patients of laparoscopic cholecystectomy, in case of 69.2% patients, laparoscopic cholecystectomy was done for chronic cholecystitis and in 18.6% cases, it was performed for acute cholecystitis.…”

Section: Discussionmentioning

confidence: 99%

“…P values (using the Chi square test) are more than >0.05 here, hence suggest insignificant results statistically. In a research study, the incidence rates of chronic and acute cholecystitis for which majority (89.7%) of laparoscopic cholecystectomy was done were 77.5% and 12.2% respectively 10 .…”

Section: Discussionmentioning

confidence: 99%

Operative and Postoperative Complications of Laparoscopic Cholecystectomy: Experience from a Tertiary Care Hospital of Bangladesh

Maitra

Ullah

Faruquzzaman

et al. 2017

Bangladesh Crit Care J

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“…Although ultrasound imaging is sufficient for the diagnosis of gallbladder stones, scintigraphy (for ejection fraction) and magnetic resonance cholangiopancreatography have been claimed to be necessary to display bile ducts and the flow of the bile in patients having episodes of cholangitis or biliary dyskinesia [1,7,8]. In our series, the diagnosis was made using ultrasonography for all patients.…”

Section: Discussionmentioning

confidence: 91%

Laparoscopic cholecystectomy in childhood: a review of twenty-four consecutive cases

2016

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Objectives. The experience with laparoscopic cholecystectomy in children remains limited. Therefore, we aimed to present our experience with this procedure. Methods. Between April 2011 and June 2016, retrospectively, data points of children who underwent laparoscopic cholecystectomy reviewed included demographics properties, indication for cholecystectomy, surgical technique, operative time, complications, and length of hospital stay. Results. Twenty-four children (5 were males with ages ranging from 2 to 17 years, mean: 10.5 years) underwent laparoscopic cholecystectomy. The indication for surgery was associated to symptomatic gallstones in all patients. The surgery was performed under general anesthesia and classical 4-port approach was done in twenty-two patients, and 2-port approach in combination with 2 portless 2.3-mm percutaneous graspers was used in two patients. The operating time ranged between 45 and 90 minutes (mean: 60 minutes). Two patients ended by open surgery. No complications occurred. Hospital stays ranged from 1-3 days. Conclusion. Laparoscopic cholecystectomy is safe and effective in children, and shows the same advantages reported in adult series.

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Laparoscopic cholecystectomy in children with chronic hemolytic anemia

Abstract: Elective LC should be the gold standard in children with CHA and asymptomatic cholelithiasis in order to prevent the potential complications of cholecystitis and choledocholithiasis, which lead to major risks, discomfort, and longer hospital stay.

Cited by 45 publications

References 17 publications

Outcome of cholelithiasis in Sudanese children with Sickle Cell Anaemia (SCA) after 13 years follow-up

Outcome of cholelithiasis in Sudanese children with Sickle Cell Anaemia (SCA) after 13 years follow-up

Operative and Postoperative Complications of Laparoscopic Cholecystectomy: Experience from a Tertiary Care Hospital of Bangladesh

Laparoscopic cholecystectomy in childhood: a review of twenty-four consecutive cases

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