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Laparoscopic cholecystectomy versus open cholecystectomy in children.

Ravit Ruangtrakool1, Akkrapol Mungnirandr, Mongkol Laohapensang

  • 1Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
|June 26, 2002
PubMed
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Laparoscopic cholecystectomy (LC) offers faster diet resumption and shorter hospital stays in children compared to open procedures. This pediatric surgery approach shows minimal complications, making it a preferred method.

Area of Science:

  • Pediatric Surgery
  • Minimally Invasive Surgery
  • Gastrointestinal Surgery

Background:

  • Laparoscopic cholecystectomy (LC) is standard for adults, but its benefits in pediatric patients remain less proven.
  • Pediatric cholecystectomies are less common, and children's rapid recovery can mask surgical advantages.

Purpose of the Study:

  • To compare the outcomes of laparoscopic cholecystectomy (LC) versus open cholecystectomy (OC) in pediatric patients.
  • To evaluate diet resumption, hospitalization duration, and complication rates for different cholecystectomy approaches in children.

Main Methods:

  • A retrospective study analyzed 42 pediatric cholecystectomies performed between 1992 and 2000.
  • Patients were divided into three groups: LC (n=8), OC (n=8), and OC with splenectomy (OC+S) (n=26).

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Main Results:

  • LC patients resumed soft diets significantly faster (1.38 days) than OC (3.38 days) and OC+S (3.35 days) groups.
  • Hospitalization was shorter for LC (3.00 days) compared to OC (8.38 days) and OC+S (4.85 days).
  • LC had no reported morbidity or mortality, while OC and OC+S groups experienced complications.

Conclusions:

  • Laparoscopic cholecystectomy is a preferred surgical method for pediatric cholecystectomy.
  • LC demonstrates advantages in quicker diet resumption and reduced hospitalization with minimal complications in children.
  • Further research with larger patient cohorts is needed to definitively establish the benefits of LC in pediatric populations.