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Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture
04:02

Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture

Published on: November 25, 2025

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[Laparoscopic cholecystectomy: what we can learn about].

I Simal Badiolal, C Corona Bellostas, E Sagarra Cebolla

    Cirugia Pediatrica : Organo Oficial De La Sociedad Espanola De Cirugia Pediatrica
    |June 13, 2015
    PubMed
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    Laparoscopic cholecystectomy (LC) is a safe procedure in children, similar to adults, despite longer operating times. Further research can optimize recovery and discharge for pediatric patients undergoing LC.

    Area of Science:

    • Pediatric Surgery
    • Minimally Invasive Surgery
    • Gastrointestinal Surgery

    Context:

    • Laparoscopic cholecystectomy (LC) is common in adults but less frequent in children.
    • Assessing pediatric LC outcomes is crucial for surgical practice.
    • Comparing pediatric and adult LC outcomes provides valuable insights.

    Purpose:

    • To evaluate the outcomes of laparoscopic cholecystectomy (LC) in children compared to adults.
    • To identify differences in operating time, conversion rates, complication rates, length of stay, and time to first feeding.
    • To determine the safety and efficacy of pediatric LC.

    Summary:

    • A study compared 39 children and 40 adults undergoing LC, with cholelithiasis as the primary indication in both groups.
    • Pediatric LC had longer operating times (127 min vs. 71 min) but similar conversion and complication rates (5% vs. 2.5%).

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  • Children experienced longer hospital stays (2.1 days vs. 0.5 days) and delayed first feeding (21 hours vs. 8 hours) compared to adults.

    • Impact:

    • Laparoscopic cholecystectomy in children is a safe procedure with comparable morbidity to adults.
    • Longer hospital stays in pediatric patients may be due to less familiarity with the technique.
    • Future efforts should focus on reducing operative time, time to first feeding, and length of hospital stay for pediatric LC.