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Laparoscopic trans-choledochotomy approach for common bile duct stones removal: case report
A Appignani1, M Bertozzi, E Magrini
1Clinica Chirurgica Pediatrica Ospedale S. Maria della Misericordia loc. S. Andrea delle Fratte, 06100 Perugia, Italy.
Insights
Pediatric gallstones and common bile duct stones can be treated with laparoscopic surgery. This case study details a 10-year-old girl who underwent successful laparoscopic common bile duct clearance alongside cholecystectomy.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Minimally Invasive Procedures
Background:
- Biliary diseases in children have seen increased diagnosis and treatment since the 1980s due to technological advancements.
- Laparoscopic cholecystectomy combined with endoscopic retrograde stone removal is a common approach for pediatric common bile duct stones.
- Laparoscopic common bile duct clearance is a standard procedure in adults.
Observation:
- A 10-year-old girl presented with cholelithiasis (gallstones) and common bile duct stones.
- The patient underwent a laparoscopic surgical procedure.
Findings:
- The treatment involved laparoscopic cholecystectomy (gallbladder removal).
- Laparoscopic trans-choledochotomy was performed for common bile duct stone clearance.
- The procedure was successful in removing the stones and the gallbladder.
Implications:
- This case highlights the feasibility and success of laparoscopic common bile duct clearance in pediatric patients.
- It suggests that laparoscopic approaches for common bile duct stones can be effectively applied in younger populations.
- This minimally invasive technique may offer an alternative to endoscopic procedures in select pediatric cases.
Abstract:
The advent of new technologies in the 1980s allowed the increase in diagnosis and treatment of biliary diseases in the pediatric population. Nowadays, in case of pediatric common bile duct stones, the most popular procedure is laparoscopic cholecystectomy, associated to retrograde endoscopic stones removal, even if in adult age laparoscopic common bile duct clearance is a common procedure. The Authors report a case of cholelithiasis with common bile duct stones in a 10 year-old girl treated by laparoscopic cholecystectomy associated with laparoscopic trans-choledochotomy common bile duct clearance.
