PMID: 7931967Jul 1, 1994Paper

Laparoscopic cholecystectomy in infants and children: modifications and cost analysis

Journal of Pediatric Surgery
G W HolcombJ B Pietsch


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


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
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
Mar 1, 1990·Pediatrics in Review·G W Holcomb, G W Holcomb

❮ Previous
Next ❯


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

❮ Previous
Next ❯

Related Concepts

Trending Feeds


Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.


Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.


Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.