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Laparoscopic cholecystectomy in children with sickle cell disease
R M Hatley1, D Crist, C G Howell
1Department of Surgery, Medical College of Georgia, Augusta.
The American Surgeon
|February 1, 1995
Abstract:
Since 1991, laparoscopic cholecystectomy has been utilized in children with sickle cell disease, predominantly because of the decreased pain and shorter hospitalization. We believe that outpatient laparoscopic cholecystectomy or even a 24 hour hospitalization is not indicated in the patient with sickle cell disease. Perioperative complications include bleeding diathesis, vaso-occlusive phenomena, and delayed hemolytic transfusion reactions, although clotting parameters can be normal.