Laparoscopic versus open cholecystectomy in children

摘要: Twenty-one consecutive laparoscopic cholecystectomies (LC) were compared with 29 open (OC). Sickle-cell disease (SCD) was the most common reason for cholecystectomy in both groups. The average length of operative time LC significantly longer than that OC (P = 0.0149). In 1 patient there conversion from to due severe adhesions. Common bile duct (CBD) stones diagnosed 8 (27.6%) group; 4 them diagnosis made preoperatively by ultrasound, intraoperative cholangiogram. All patients required CBD exploration, and 2 had additional transduodenal sphincteroplasties. group 5 (23.8%) stones. (FRCP) endoscopic retrograde cholangiopancreatography sphincterotomy, stone extraction followed LC. FRCP is a necessary adjunct treatment if be contemplated. Six developed complications, while only minor complications. hospitalization after shorter 0.0150). procedure choice management cholelithiasis children, especially those SCD.