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The Safety of Day-Case Cholecystectomy in Children: A Narrative Systematic Review
Melissa Bautista1,2, Maisey Baker2, Ruby Bolton2
1Leeds Children's Hospital, Leeds General Infirmary, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
Insights
Day-case cholecystectomy (gallbladder removal) is safe and effective for select children when specific protocols are followed. This approach, common in adults, is becoming established in pediatric care.
Area of Science:
- Pediatric Surgery
- Surgical Outcomes
- Healthcare Management
Background:
- Cholecystectomy is infrequently performed in children.
- Day-case cholecystectomy is standard for adults but not yet established in pediatric populations.
- Evidence is needed to support its use in children.
Conclusions:
- Paediatric day-case cholecystectomy is a safe and effective option for carefully selected children.
- Implementation requires adherence to defined perioperative protocols.
- Further research may refine patient selection and protocols for broader application.
Abstract:
Cholecystectomy is a relatively uncommon procedure in the paediatric population. Day-case cholecystectomy is the standard procedure for adults but is not yet established in children. This systematic review assesses the current literature on day-case cholecystectomy in children under 18 years of age. Fourteen final papers were analysed which include 5690 individuals. This systematic review describes the population deemed suitable for day-case procedures, perioperative protocols and the associated outcomes in those who have undergone a day-case procedure. Paediatric day-case cholecystectomy can be safe and effective in certain populations within a defined protocol.
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