PMID: 9681425Jul 29, 1998Paper

Microinvasive laparoscopic cholecystectomy in pediatric patients

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
K KasirajanR Lopez


Although cholelithiasis is uncommon in children, its laparoscopic treatment has progressively become more popular among pediatric surgeons. This is due in part to the fact that compared with the open technique, laparoscopic treatment is less invasive as well as more cost-effective. A review of the literature indicates that it has been customary to use at least one 10-mm port to permit application of the 10-mm endoscopic clip applier for ligation of the cystic duct and artery. We report our experience with two patients in whom a laparoscopic cholecystectomy was performed by use of a 5-mm endoscopic clip applier and a 3-mm laparoscope. The application of a 5-mm clip applier obviated the need for a 10-mm port. It also saved an additional step by eliminating the exchange from the laparoscope to the 10-mm endoscopic clip applier through the 10-mm port. Furthermore, the use of a 3-mm telescope through the smallest port (<5 mm) would achieve a better cosmetic outcome.


Jun 11, 1992·Surgical Laparoscopy & Endoscopy·J C RosserD Andrews
Sep 1, 1992·Journal of Clinical Anesthesia·M T Walsh, T R Vetter
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Oct 1, 1991·Journal of Pediatric Surgery·H H SigmanF M Guttman
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Nov 1, 1990·Annals of Surgery·G Berci, J Sackier
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Mar 1, 1990·Pediatrics in Review·G W Holcomb, G W Holcomb
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Mar 1, 1988·Journal of Pediatric Surgery·J F RobertsonP A Raine
Jul 1, 1973·Pediatric Radiology·D E Newman
Jan 1, 1981·Pediatric Radiology·L GarelJ Sauvegrain
Feb 1, 1994·Journal of Pediatric Surgery·E P TaggeA J Garvin
Jul 1, 1994·Journal of Pediatric Surgery·G W HolcombJ B Pietsch
Jan 1, 1994·Journal of Pediatric Surgery·G W Holcomb, D Naffis

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