Abstract
Gallbladder stones are very common in patients with sickle cell disease and are the cause of recurrent abdominal pain. Their management has been highly controversial, especially for children. Nonoperated patients and those treated on an emergency basis have a very high rate of morbidity (>50%). We performed a retrospective review of a series of 29 homozygous SS sickle cell children who underwent laparoscopic cholecystectomy between 1991 and April 1998. Only in one case a conversion was necessary (early in the series). Exploration of the common bile duct was done via intraoperative cholangiography. There were no mortalities. The morbidity rate was 17%; (however, of the five patients concerned, four suffered from hyperthermia for 2 days. All of the children were improved and enjoyed resolution of their abdominal pain. We believe that elective laparoscopic cholecystectomy at the earliest time possible, along with correct perioperative management, is the treatment of choice for cholelithiasis in children with sickle cell disease.
References
Nov 1, 1992·World Journal of Surgery·J PérissatE Magne
Jan 1, 1992·The Journal of Pediatrics·R E WareW C Meyers
Apr 18, 1991·The New England Journal of Medicine·UNKNOWN Southern Surgeons Club
Oct 1, 1991·Journal of Pediatric Surgery·H H SigmanF M Guttman
Oct 1, 1991·Journal of Pediatric Surgery·K D NewmanS Evans
Oct 1, 1991·Journal of Pediatric Surgery·G W HolcombK W Sharp
May 1, 1989·Gastroenterology·G T EversonD Pretorius
Jul 1, 1988·American Journal of Diseases of Children·B S Malone, S L Werlin
Dec 1, 1968·The American Journal of Medicine·E Barrett-Connor
Jan 1, 1984·American Journal of Diseases of Children·M B RennelsA D Schwartz
Jul 1, 1995·Journal of Pediatric Surgery·P C KimR Filler
Nov 1, 1995·Southern Medical Journal·C F GholsonJ C McDonald
Jan 1, 1995·Surgical Endoscopy·P M GoD J Gouma
May 1, 1995·Southern Medical Journal·V W VanekD J Dallis
Apr 1, 1995·North Carolina Medical Journal
Jan 1, 1995·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·S Wiesel, R Grillas
Nov 1, 1994·The Journal of Pediatrics·S S WinterR E Ware
Feb 1, 1994·Journal of Pediatric Surgery·E P TaggeD B Adams
Feb 10, 1994·The New England Journal of Medicine·C A SteinerE P Steinberg
Jan 1, 1993·Journal of Pediatric Surgery·N BhattacharyyaR C Shamberger
Mar 1, 1996·Endoscopy·M SimiS Leardi
Sep 1, 1996·The Journal of Pediatrics·T M Walker, G R Serjeant
Feb 18, 1998·World Journal of Surgery·A J JawadA Ammar
Citations
Apr 15, 2008·Current Problems in Surgery·Frank J SchabergPeter J Mazzaglia
Sep 10, 2005·Journal of Pediatric Surgery·Arnaud BonnardP de Lagausie
Jun 3, 2008·International Journal of Surgery·B DiarraD Franco
Sep 18, 2020·Updates in Surgery·Karina Miura da Costa, Amulya Kumar Saxena
May 31, 2017·Clinical Journal of Gastroenterology·Yousef Al TalhiYasmin Yousef