The role of laparoscopic cholecystectomy in the management of acute cholecystitis in patients with sickle cell disease

Laparoscopic cholecystectomy in children with chronic hemolytic anemia

“…The mean number of hospitalization and ambulatory visits for children with SCD and cholelithiasis is twice as high as that of children with SCD without cholelithiasis. In addition, the potential complications arising during the course of medical observation of cholelithiasis seem to exceed the risks associated with elective LC [1,13]. Parez et al [10] found that children with SCD develop clinical manifestations in 28% of cases a maximum of 2½ years after diagnosis.…”

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

“…Hence, most surgeons advocate LC in these patients [6,[8][9][10][11][12]14]. Yet, two reports have documented an increased incidence of ACS after LC in patients with SCD [13,15].…”

“…Preoperative selective endoscopic retrograde cholangiopancreatography (ERCP) was adopted based on standard criteria [11].…”

“…These benefits are very important for patients with SCD, who are immunocompromised and at a higher risk to develop postoperative infection. To date, only small series of LC in adults with SCD have been reported [8][9][10][11][12][13][14][15]. We report our experience with a large series of LCs in adults with SCD.…”

Management of Gallstones in the Pediatric Patient

“…Based upon their fi ndings, Suell et al [ 71 ] suggested that elective LC should be considered at the time of initial gallstone diagnosis. Moreover, LC is the treatment of choice in children with SCD and acute cholecystitis [ 35 ].…”