Laparoscopic cholecystectomy in children: A systematic review and meta-analysis

Mattson, Anja; Sinha, Ankit Kumar; Njere, Ike; Borkar, Nitin Kumar; Sinha, Chandni

doi:10.1016/j.surge.2022.09.003

Cited by 6 publications

(7 citation statements)

References 21 publications

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“…Regarding complications of LC in pediatrics, we consider bile duct injury (0.4%), intraoperative or postoperative bleeding (0.9%), and bile leak (2.4%) as the main ones, resulting in an overall complication rate of 3.4% [20]. In our study, both groups experienced bleeding that had to be subsequently controlled (requiring reoperation).…”

Section: Discussionmentioning

confidence: 89%

Concurrent Endoscopic Retrograde Cholangiopancreatography and Laparoscopic Cholecystectomy: a Safe Strategy in Pediatric Patients

Santangelo,

Scarpin,

Imaz

et al. 2024

Preprint

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Introduction: Gallbladder disease incidence in the pediatric population and its complications have been consistently increasing. The standard treatment for choledocholithiasis involves performing endoscopic retrograde cholangiopancreatography (ERCP) followed by laparoscopic cholecystectomy (LC). These therapeutic methods require pediatric patients to undergo two different procedures. This study aims to demonstrate the safety of performing ERCP and LC in a single session in patients diagnosed with choledocholithiasis. Design and Methods: A prospective cohort study was conducted on patients under 18 years diagnosed with choledocholithiasis. They were divided into two groups: the "intervention group" underwent simultaneous ERCP and LC, while the "control group" underwent ERCP and LC in two separate sessions. Results: The present study includes forty-two patients, with 27 assigned to the “intervention group” and 15 to the “control group”. The difference in the average anesthesia time between the two groups was significant (p=0.001). Two patients in the "control group" developed cholecystitis while awaiting LC. Discussion: Most patients endured both procedures without experiencing significant complications. The main goals were to reduce the total anesthesia duration and the morbidity associated with gallbladder stones. This prospective study, conducted at two centers, supports the safety of performing both procedures simultaneously in pediatric patients.

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Section: Discussionmentioning

confidence: 89%

Concurrent Endoscopic Retrograde Cholangiopancreatography and Laparoscopic Cholecystectomy: a Safe Strategy in Pediatric Patients

Santangelo,

Scarpin,

Imaz

et al. 2024

Preprint

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“…La colelitiasis, la colecistitis y la discinesia biliar son las indicaciones más frecuentes de CL. (Mattson et al, 2022) La colecistectomía laparoscópica en comparación con la colecistectomía abierta, tiene varias ventajas, entre ellas, menos dolor posoperatorio, un período de recuperación más corto, un retorno más rápido a las actividades sin restricciones y mejores resultados estéticos. Las indicaciones para la cirugía incluyen la colelitiasis sintomática que no responde al tratamiento médico, que ya no se recomienda en la población pediátrica.…”

Section: Introductionunclassified

Revisión bibliográfica: abordaje quirúrgico de las patologías de la vesícula biliar en niños

Daniel¹,

Valencia²,

Gavilanes³

et al. 2023

Braz. J. Hea. Rev.

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Los trastornos de la vesícula biliar en la población pediátrica han cambiado en las últimas tres décadas. Si bien antes se atribuían en gran medida a enfermedades hemolíticas, hoy en día se conoce que el aumento del sobrepeso y la obesidad son la principal causa de estos. El número de colecistectomías en niños ha incrementado debido a un mejor conocimiento de la patología de la vesícula biliar como causa de dolor abdominal, el uso rutinario de la ecografía en la evaluación del dolor abdominal y el aumento de la indecencia de las patologías biliares. En este artículo se analizará las patologías de la vesícula biliar: Discinesia biliar, colelitiasis, pólipos de la vesícula y el abordaje quirúrgico en pacientes pediátricos.

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“…Laparoscopic cholecystectomy (LC) in children is now considered the gold standard for gallbladder (GB) removal [1,2]. In the past, hemolytic disorders have represented the most frequent condition requiring LC.…”

Section: Introductionmentioning

confidence: 99%

“…In the past, hemolytic disorders have represented the most frequent condition requiring LC. Pediatric cholelithiasis has been progressively increasing in the past decades and, to date, the trend is shifting towards cholelithiasis, biliary pancreatitis, cholecystitis, cholangitis, and, less commonly, biliary dyskinesia [1,[3][4][5].…”

Section: Introductionmentioning

confidence: 99%

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Laparoscopic Cholecystectomy in Children: The Experience of Two Centers Focusing on Indications and Timing in the Era of “New Technologies”

Destro,

Pierucci,

Durante

et al. 2023

Children

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Background: In children, laparoscopic cholecystectomy (LC) is now considered the gold standard for gallbladder (GB) removal. In the past, hemolytic disorders associated with cholelithiasis represented the most frequent conditions requiring LC; this is being overtaken by cholelithiasis and biliary conditions in overweight or ex-premature children. Aims: This study aims to describe current indications and timing for LC in pediatric patients. Methods: Retrospective study. Data on previous medical therapy, ultrasound, pre- and intraoperative aspects, and histology were collected for patients treated in 2020–2023. Results: In total, 45 patients were enrolled: 15 who underwent urgent surgery and 30 electives. Groups differed in terms of obesity rate, symptoms, ultrasound features, and intraoperative status. The most relevant risk factors for surgical complexity were age and pubertal stage, elevated cholestasis indexes, and gallbladder wall thickness > 3 mm at ultrasound. GB wall thickening ≥3 mm, US Murphy sign, fluid collections, and gallbladder distention on ultrasound correlated with high surgical scores. Conclusions: Indications for laparoscopic cholecystectomy in children seem to evolve caused by changing characteristics of the pediatric population. Patients with overweight/obesity may develop more complex GB diseases. Asymptomatic patients should be considered for surgery after observation, considering age and/or pubertal maturation when other risk factors are absent.

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Laparoscopic cholecystectomy in children: A systematic review and meta-analysis

Cited by 6 publications

References 21 publications

Concurrent Endoscopic Retrograde Cholangiopancreatography and Laparoscopic Cholecystectomy: a Safe Strategy in Pediatric Patients

Concurrent Endoscopic Retrograde Cholangiopancreatography and Laparoscopic Cholecystectomy: a Safe Strategy in Pediatric Patients

Revisión bibliográfica: abordaje quirúrgico de las patologías de la vesícula biliar en niños

Laparoscopic Cholecystectomy in Children: The Experience of Two Centers Focusing on Indications and Timing in the Era of “New Technologies”

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