PMID: 7931967Jul 1, 1994Paper

Laparoscopic cholecystectomy in infants and children: modifications and cost analysis

Journal of Pediatric Surgery
G W HolcombJ B Pietsch

Abstract

Between June 1990 and February 1993, 26 children underwent laparoscopic cholecystectomy. Their ages ranged from 25 months to 19 years (mean, 12.3 years; median, 13 years). Only six of them had hemolytic diseases associated with gallstones. Five presented with acute cholecystitis. Laparoscopic cholecystectomy was performed on these five, within 5 days of admission; the mean postoperative hospital stay was 2.5 days. The other 21 patients underwent elective cholecystectomy; their mean postoperative stay was 1 day. Several modifications have been made in our technique. Three 5-mm ports and one 10-mm umbilical port are used. In addition, direct incision of the umbilical fascia is performed with insertion of a blunt trocar and cannula rather than using the Veress needle for insufflation. The importance of positioning the epigastric cannula in the left upper quadrant in small children cannot be overemphasized. Cholangiography is now attempted in all patients and is easier with the Kumar cholangioclamp and sclerotherapy needle, under fluoroscopy. The total hospital charges for the patients who underwent elective laparoscopic cholecystectomy are compared retrospectively with those of seven children who had elective open cholecystectomy ...Continue Reading

References

Aug 1, 1992·Journal of Laparoendoscopic Surgery·B D Schirmer, J Dix
Feb 1, 1992·Annals of Surgery·A M DavidoffW C Meyers
Jun 11, 1992·Journal of Laparoendoscopic Surgery·R C McIntyreM M Cohen
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Oct 1, 1991·Journal of Pediatric Surgery·G W HolcombK W Sharp
Mar 1, 1990·Pediatrics in Review·G W Holcomb, G W Holcomb

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Citations

Jul 1, 1997·Pediatric Surgery International·H L Lugo-Vicente
Oct 19, 2004·Pediatric Surgery International·Mark D Stringer
May 24, 2007·Irish Journal of Medical Science·M MenezesM T Corbally
Dec 25, 2003·Journal of Pediatric Surgery·Michael Gertner, Diana L Farmer
Jul 29, 1998·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·K KasirajanR Lopez
Aug 20, 2005·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Gideon KarplusZahavi Cohen
Feb 24, 2000·Archives of Disease in Childhood·P K Tam
Apr 22, 2010·Journal of Minimal Access Surgery·J DeepakP Balamourougane
Mar 14, 1998·Seminars in Pediatric Surgery·J S Sanfilippo, T E Lobe
Dec 12, 2000·Seminars in Pediatric Surgery·T E Lobe
Oct 26, 2010·The American Journal of Emergency Medicine·Candace McNaughtonStephen John Cico
Aug 31, 1999·Journal of Pediatric Surgery·G W HolcombY Shyr
Jul 1, 1995·Journal of Pediatric Surgery·P C KimR Filler
Mar 1, 1997·Journal of Pediatric Surgery·P G GambaM Guglielmi
Apr 4, 2015·Journal of Pediatric Surgery·Arnaud Fotso KamdemMarie-Christine Woronoff-Lemsi
Dec 20, 2016·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Armando Rosales-Velderrain, Fuad Alkhoury
Apr 2, 2017·Surgical Endoscopy·William W HopeWilliam S Richardson
Aug 7, 1998·Journal of Pediatric Surgery·J D GeigerA G Coran
Feb 12, 2020·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Jaqueline BabbSamir Pandya
Nov 1, 1993·Pediatric Annals·G W Holcomb
Feb 26, 2000·Annals of Tropical Paediatrics·E A Ameh
May 2, 2003·Pediatric Surgery International·L B ChirdanB T Ugwu
Feb 7, 2007·Annals of Saudi Medicine·M A Bakhotmah
Feb 16, 1999·Seminars in Surgical Oncology·G W Holcomb

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