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Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
Cholecystectomy using single-incision pediatric endosurgery: technique and initial experience in the first 25 cases
Cecilia Puga Nougues1, Carroll M Harmon, Erik N Hansen
1Division of Pediatric Surgery, Children's Hospital of Alabama, Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama 35233, USA.
Summary
Single-incision pediatric endosurgery (SIPES) cholecystectomy is a safe alternative for children, offering improved cosmesis. Further studies are needed to determine benefits beyond cosmetic improvements in pediatric gallbladder removal.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
- Gastrointestinal Surgery
Background:
- Laparoscopic cholecystectomy is standard for pediatric patients.
- Single-incision laparoscopic surgery is emerging as a less-invasive option.
- Limited data exists on single-incision approaches in children.
Purpose of the Study:
- To evaluate the initial experience with single-incision pediatric endosurgery (SIPES) cholecystectomy.
- To detail the technique, intraoperative challenges, and outcomes of SIPES cholecystectomy.
- To assess the safety and efficacy of SIPES in pediatric gallbladder removal.
Main Methods:
- Prospective evaluation of pediatric patients undergoing SIPES cholecystectomy.
- Data collection included operative time, hospital stay, and complications.
- Follow-up assessments were conducted to monitor patient outcomes.
Main Results:
- Twenty-five pediatric patients underwent SIPES cholecystectomy.
- Common indications included symptomatic cholelithiasis and biliary dyskinesia.
- No complications or conversions to open surgery were reported; median hospital stay was 1 day.
Conclusions:
- SIPES cholecystectomy is a safe and viable alternative to conventional laparoscopy in children.
- The procedure results in an inconspicuous scar, improving cosmetic outcomes.
- Further research is required to ascertain additional patient benefits of SIPES beyond improved cosmesis.