Laparoscopic surgery in sickle cell disease

Vecchio, Rosario; Cacciola, Emma; Martino, Marcello Di; Gambelunghe, Angela; Murabito, Paolo; Cacciola, Rossella Rosaria

doi:10.1007/s00464-001-9087-5

Cited by 6 publications

(9 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, with the introduction of laparoscopic cholecystectomy, the establishment of its safety in patients with SCD and cholelithiasis, and the significant improvement of anesthetic techniques, more patients (adults and children) are being referred for laparoscopic cholecystectomy [68,69]. Pediatricians have started screening their patients for gallstones and referring them for laparoscopic cholecystectomy before the development of symptoms and/or complications of the disease [70].…”

Section: Chronic Hemolytic Syndromesmentioning

confidence: 99%

Asymptomatic Cholelithiasis: Is Cholecystectomy Really Needed? A Critical Reappraisal 15 Years After the Introduction of Laparoscopic Cholecystectomy

Sakorafas¹,

Milingos²,

Peros³

2007

Dig Dis Sci

199

129

View full text Add to dashboard Cite

Asymptomatic cholelithiasis is increasingly diagnosed today, mainly as a result of the widespread use of abdominal ultrasonography for the evaluation of patients for unrelated or vague abdominal complaints. About 10-20% of people in most western countries have gallstones, and among them 50-70% are asymptomatic at the time of diagnosis. Asymptomatic gallstone disease has a benign natural course; the progression of asymptomatic to symptomatic disease is relatively low, ranging from 10-25%. The majority of patients rarely develop gallstone-related complications without first having at least one episode of biliary pain ("colic"). In the prelaparoscopy era, (open) cholecystectomy was generally performed for symptomatic disease. The minimally invasive laparoscopic cholecystectomy refueled the discussion about the optimal management of asymptomatic cholelithiasis. Despite some controversy, most authors agree that the vast majority of subjects should be managed by observation alone (expectant management). Selective cholecystectomy is indicated in defined subgroups of subjects, with an increased risk for the development of gallstone-related symptoms and complications. Concomitant cholecystectomy is a reasonable option for good-risk patients with asymptomatic cholelithiasis undergoing abdominal surgery for unrelated conditions. Routine cholecystectomy for all subjects with silent gallstones is a too aggressive management option, not indicated for most subjects with asymptomatic cholelithiasis. An in-depth knowledge of the natural history of gallstone disease is required to select the optimal management option for the individual subject with silent gallstones. Management options should be extensively discussed with the patient; he or she should be actively involved in the process of therapeutic decision making.

show abstract

Section: Chronic Hemolytic Syndromesmentioning

confidence: 99%

Asymptomatic Cholelithiasis: Is Cholecystectomy Really Needed? A Critical Reappraisal 15 Years After the Introduction of Laparoscopic Cholecystectomy

Sakorafas¹,

Milingos²,

Peros³

2007

Dig Dis Sci

199

129

View full text Add to dashboard Cite

show abstract

“…Thrombophilia evaluation is suggested, in some reviews . Preoperative preparation occasionally includes chest physiotherapy and intra‐venous hydration during the fasting period . Bicarbonate treatment, as a prevention to acidosis, has been reported as a standard treatment in older manuscripts .…”

Section: Resultsmentioning

confidence: 99%

“…Intraoperative monitoring varies. Per standard anesthetic care, blood pressure, cardiac rhythm and rate and oxygenation are monitored strictly to avoid hypoxia . Some groups perform more invasive systematic monitoring such as the continuous measurement of central venous pressure, arterial blood pressure, regular arterial blood gas exchange and/or urine output determination (by Foley catheterization) .…”

Section: Resultsmentioning

confidence: 99%

Perioperative care of children with sickle cell disease: A systematic review and clinical recommendations

et al. 2019

View full text Add to dashboard Cite

Children with sickle cell disease (SCD) require specific perioperative care, and clinical practice in this area remains poorly defined. We aimed to conduct a systematic, PRISMA-based review of the literature, available clinical guidelines and practice recommendations. We also aimed to extract any valuable information for the "best of available-evidence"-based prevention of perioperative adverse events in children with SCD, and highlight the most urgent priorities in clinical research. As data sources, USWe also included institutional, consortia and expert group guidelines. Included were reports/guidelines in English, French, German, and Italian. Excluded were reports on obstetrical and fetal management. We identified 202 reports/guidelines fulfilling the criteria outlined above. A majority focused on visceral, cardiovascular and orthopedic surgery procedures, and only five were multicenter randomized controlled trials and two prospective randomized studies. After grading of the quality of the evidence, the extracted data was summarized into clinical recommendations for daily practice. Additionally, we designed a risk-grading algorithm to identify contexts likely to be associated with adverse outcomes. In conclusion, we provide a systematic PRISMA-based review of the existing literature and ancillary practice and delineate a set of clinical recommendations and priorities for research.

show abstract

“…Despite our practice of selective ERCP, no CBD stones were missed during a mean follow-up of 18 months. Noninvasive tests, such as magnetic resonance cholangiopancreatography [19] and intraoperative ultrasound [20], are being increasingly used to evaluate the biliary ducts in sicklers subjected to LC.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic cholecystectomy in 427 adults with sickle cell disease: a single-center experience

Al-Mulhim

2009

Surg Endosc

View full text Add to dashboard Cite

show abstract

Laparoscopic surgery in sickle cell disease

Cited by 6 publications

References 1 publication

Asymptomatic Cholelithiasis: Is Cholecystectomy Really Needed? A Critical Reappraisal 15 Years After the Introduction of Laparoscopic Cholecystectomy

Asymptomatic Cholelithiasis: Is Cholecystectomy Really Needed? A Critical Reappraisal 15 Years After the Introduction of Laparoscopic Cholecystectomy

Perioperative care of children with sickle cell disease: A systematic review and clinical recommendations

Laparoscopic cholecystectomy in 427 adults with sickle cell disease: a single-center experience

Contact Info

Product

Resources

About