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Updated: Jun 18, 2026
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Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
[Cholecystectomy in children: our experience with 37 cases]
A Armas Alvarez1, P Taboada Santomil, A Bautista Casasnovas
1Complexo Hospitalario Universitario de Santiago de Compostela, Servicio de Cirugía Pediátrica, Santiago de Compostela.
Summary
Cholelithiasis is the primary reason for pediatric cholecystectomy, with laparoscopic procedures showing shorter operative times and hospital stays. This study analyzed 37 pediatric cases, highlighting common indications and outcomes.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
- Surgical Indications
Context:
- Pediatric cholecystectomy indications have evolved with increased adoption of laparoscopic techniques.
- A shift towards elective laparoscopic cholecystectomy is observed in pediatric populations.
Purpose:
- To determine the primary indications for cholecystectomy in children.
- To analyze the type of cholecystectomy, operative time, and hospital stay.
- To document associated complications, concomitant procedures, and pathological findings.
Summary:
- A review of 37 pediatric cases revealed cholelithiasis as the main indication (33 cases).
- Laparoscopic cholecystectomies (68%) demonstrated shorter operative times (84 min) and hospital stays (8 days) compared to open procedures (32%).
- Chronic lithiasic cholecystitis was the most frequent pathological finding, with intraoperative cholangiography and hepatic biopsies being common concomitant procedures.
Impact:
- Laparoscopic cholecystectomy offers advantages in reduced operative time and hospital stay for pediatric patients.
- Understanding current indications and outcomes informs surgical decision-making and improves patient management.
- This study provides valuable data on the spectrum of gallbladder pathology and surgical interventions in children.
