Related Experiment Video
Updated: Jun 7, 2026
Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
Cholecystectomy in children
Alan Patrick Ainsworth1, Anne Reiss Axelsen, Lars Rasmussen
1Department of Surgery, Odense University Hospital, Denmark. alan.ainsworth@dadlnet.dk
Insights
Cholecystectomy in children is uncommon, typically performed on otherwise healthy youth for gallstones or gallbladder wall thickening. Surgical outcomes and recovery times resemble adult procedures.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Gallstone Disease
Background:
- Cholecystectomy is recommended for children with biliary colic and gallstones.
- This study describes the characteristics of pediatric patients undergoing cholecystectomy.
Purpose of the Study:
- To characterize the population of children who underwent cholecystectomy.
- To analyze indications, surgical methods, and outcomes in pediatric cholecystectomy.
Main Methods:
- Retrospective study of children under 15 years old who had cholecystectomy.
- Data collected from Odense University Hospital between 2000-2009.
Main Results:
- Thirteen children (10 girls, 3 boys) underwent cholecystectomy, median age 9 years 8 months.
- Indications included gallstones with abdominal pain (11) and gallbladder wall thickening (2).
- Laparoscopic cholecystectomy was common; no postoperative complications, with a median stay of 1 day.
Conclusions:
- Cholecystectomy in children is infrequent, usually in healthy individuals.
- Surgical techniques and postoperative stays are comparable to adult procedures.
Introduction:
It is recommended that children with typical clinical signs of biliary colic should be offered surgery if gallstones are present. The aim of this study was to describe a population of children having undergone cholecystectomy.
Material And Methods:
A retrospective study of all children (aged less than 15 years) who had a cholecystectomy at the Department of Surgery, Odense University Hospital, during a ten-year period (2000-2009).
Results:
Thirteen patients (ten girls and three boys) were operated. The median age was nine years and eight months (range: three years and two months to 14 years 11 and months). The indications for cholecystectomy were: recurrent abdominal pain and known gall bladder stones (n = 11), recurrent abdominal pain and thickening of the gall bladder wall as verified by ultrasonography (n = 2). Ten children had no known predisposing factor for development of gallstones. Among the remaining three, one had hereditary spherocytosis, one was obese and one had a bowel resection performed as a newborn because of necrotising enterocolitis. Laparoscopic cholecystectomy was performed in nine patients; open cholecystectomy in three and in one, the operation was initiated laparoscopically but converted into an open procedure. There were no postoperative complications. The median postoperative stay was one day (range: 1-7 days). Only one patient underwent subsequent diagnostic work-up for recurrent abdominal pain.
Conclusion:
Cholecystectomy is rarely performed in children and when so, it is mostly performed in otherwise healthy children. The surgical techniques deployed and the duration of the postoperative stay are very similar to those observed for adults.
