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

Deepak, J; Agarwal, Prakash; Bagdi, Raj Kishore; Balagopal, Sundaresan; Ramasundaram, Madhu; Balamourougane, P

doi:10.4103/0972-9941.59306

Cited by 11 publications

(17 citation statements)

References 14 publications

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“…It is consistent with similarly situated studies in the literature. 5,6,19,20 The male: female ratio in our study was 1.85: 1 (52 vs 28). Strausse et al in his study observed females dominance i.e.…”

Section: Discussionmentioning

confidence: 55%

“…9 Similarly, Deepak J et al observed that 20 patients had pigmented stones and 02 patients had cholesterol stones. 6 Mean operative time in present study was 26.92 minutes (15 to 50 minutes). This was much less than OT reported by other available studies in the literature.…”

Section: Discussionmentioning

confidence: 58%

“…Deepak J et al and Curro et al in their study converted 01 patient each to open cholecystectomy. 6,31,32 Multiple stones were seen in 46 patients (57.5%), 28 patients (35%) had single stones and 06 patients had biliary sludge/cholestrosis associated with gallbladder polyps. No patient had stones in common bile duct.…”

Section: Discussionmentioning

confidence: 99%

“…Around 30% to 40% of cases are idiopathic. 6 As is seen in adults, gallstones in adolescent girls are also more often idiopathic. 7 Most common presentation is typical right upper quadrant pain (50%); and in 25% there may be non-specific abdominal symptoms including poorly localized abdominal pain and nausea.…”

Section: Introductionmentioning

confidence: 99%

“…12,13 Laparoscopic cholecystectomy is confirmed to be a safe and efficacious treatment for pediatric cholelithiasis with low rate of postoperative complications. 6,14 The study was undertaken to evaluate epidemiological factors as well as management options and their outcome in this part of country where incidence of adult cholelithiasis is quite high.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation and management of cholelithiasis in children: a hospital based study

2016

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INTRODUCTIONCholelithiasis is quite common in adults (10% to 20%) with worldwide variability. In India, it is 3% to 6%, more frequent in north India than in south India.1 As far as cholelithiasis in children is concerned there is a dramatic change in the overall spectrum of this disease with global increase in the incidence.2 Overall prevalence in Europe is 0.13% to 0.2% in children. In Japan, it is less than 0.13% of children & about 0.3% in India.3,4 Childhood cholelithiasis is evolving with an ever increasing frequency of cholecystectomies in children. 5 Risk factors in childhood cholelithiasis, can be hemolytic causes (20-30%), other known etiology (40-50%) such as total ABSTRACT Background: Earlier cholelithiasis was extremely unusual in childhood. Presently there is sharp increase in detection of cholelithiasis in children, which forms basis to investigate the overall changing pattern of cholelithiasis. This prospective study in referral centre has been under taken to evaluate childhood cholelithiasis and its management. Methods: The present prospective study was conducted in the Postgraduate Department of Surgery, GMC Jammu, Jammu & Kashmir, India over a period of two years. 80 patients in age group of 3-14 years were included in the study group with ultrasound proved cholelithiasis. Data reviewed with respect to patient demographics profile, clinical history including risk factors, imaging studies, operative techniques, postoperative complications, postoperative recovery and primary outcome parameters assessed accordingly. Results: During the study period 80 children (52 males and 28 females) with cholelithiasis were evaluated and treated by laparoscopic cholecystectomy. The mean age was 10.1 years (range 5 to 14 years). 75% patients (n = 60) belonged to rural background and rest to urban set up, 56 patients belonged to hindu religion and rest were muslims. In 47.5% patients no risk factor could be traced. Fifty two children (65%) had mixed gallstones. 78 patients underwent LC, two needed conversion and rest 02 children were subjected to mini cholecystectomy. The mean operative duration was 29.92 minutes (range 15-50 minutes). The average duration of hospital stay was 3.82 days (range 3-8 days). No major intra operative or post-operative complications could be detected except 01 case biliary peritonitis. Conclusions: Cholelithiasis in children was reported about three centuries back, remained relatively uncommon in the past but now it is evolving and ever increasing in frequency. In this part of country in almost 50% of patients risk factors could not be traced, obesity could not be held responsible for cholelithiasis. Male children with low socioeconomic status, rural area and belonging to Hindu religion were more affected by the disease. In view of high incidence of serious complications of gall stones in children and because of longer life expectancy we also recommend that expectant management of gallstones may not be safe and hence laparoscopic cholecystectomy must be done even in asymptomatic cholel...

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Section: Discussionmentioning

confidence: 55%

Section: Discussionmentioning

confidence: 58%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%