Role of laparoscopic cholecystectomy in children

Abstract

ABSTRACT ABSTRACT ABSTRACTThe present study is undertaken to establish the usefulness of laparoscopic cholecystectomy and to know its merits and demerits as compared to open cholecystectomy in children. In all, 28 patients who underwent cholecystectomy (8 open and 20 laparoscopic cholecystectomy) in B.Y.L. Nair hospital between July 1999 and March 2004 were analyzed. Calculous cholecystitis was found to be the most common indication for surgery. Operative time for laparoscopic cholecystectomy was more than that in open cholecystectomy in the early phase of laparoscopy, which got reduced as we gained experience. The requirement of parenteral antibiotics and analgesics and the duration of stay were significantly shorter with laparoscopy. The advantages for a child in laparoscopic cholecystectomy as compared to open cholecystectomy are minimal pain, avoidance of an upper abdominal incision, cosmesis and shorter duration of hospitalization with quick return to home and school. Thus, laparoscopic cholecystectomy is safe and efficacious in children.

Clinico‐pathological spectrum of gallbladder disease in children

“…Maximum numbers of children were between 11 and 16 years of age (69.6%) in our study. This is in variance with some studies which have reported it to be more common between 5 and 10 years of age (13,14). In a study of 128 patients undergoing paediatric cholecystectomy, mean age was found to be 10 years (15).…”

“…The frequency of acalculus cholecystitis in children has been reported as 30–50% of cholecystitis when compared to 2–17% of cases in adults (17). In our study, acalculus cholecystitis was seen in 21.4% children of cholecystitis which is in contrast to another study from India with frequency of 9% (13).…”

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

“…The incidence of gallstones among boys and girls is almost equal, with a slightly high incidence among boys. [51011] The sex ratio in our study was slightly in favour of females. LC in children differs from that in adults in various aspects.…”

Laparoscopic cholecystectomy in children

“…The benefi ts of laparoscopic cholecystectomy include decreased pain and ileus after surgery, shortened hospitalization, and improved cosmetic (1). Oak et al (2) arrived to the same conclusion when comparing traditional cholecystestomy with laparoscopic cholecystectomy.…”