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Pediatric Surgery International

, Volume 12, Issue 8, pp 587–590 | Cite as

Laparoscopic versus open cholecystectomy in children

  • A. H. Al-Salem
  • S. Qaisaruddin
  • H. Al-Abkari
  • H. Nourallah
  • Y. M. Yassin
  • K. K. Varma
Original Article

Abstract

Twenty-one consecutive laparoscopic cholecystectomies (LC) were compared with 29 consecutive open cholecystectomies (OC). Sickle-cell disease (SCD) was the most common reason for cholecystectomy in both groups. The average length of operative time for LC was significantly longer than that of OC (P = 0.0149). In 1 patient there was conversion from LC to OC due to severe adhesions. Common bile duct (CBD) stones were diagnosed in 8 (27.6%) of the OC group; in 4 of them the diagnosis was made preoperatively by ultrasound, in 4 by intraoperative cholangiogram. All 8 patients required CBD exploration, and 2 had additional transduodenal sphincteroplasties. In the LC group 5 patients (23.8%) had CBD stones. All had (FRCP) endoscopic retrograde cholangiopancreatography sphincterotomy, and stone extraction followed by LC. FRCP is a necessary adjunct to treatment if LC is to be contemplated. Six patients in the OC group developed complications, while only 4 patients in the LC group developed minor complications. The length of hospitalization after LC was significantly shorter than after OC (P = 0.0150). LC is the procedure of choice in the management of cholelithiasis in children, especially those with SCD.

Key words

Cholelithiasis Children Sickle-cell disease Laparoscopic cholecystectomy Open cholecystectomy 

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Copyright information

© Springer-Verlag 1997

Authors and Affiliations

  • A. H. Al-Salem
    • 1
  • S. Qaisaruddin
    • 1
  • H. Al-Abkari
    • 2
  • H. Nourallah
    • 3
  • Y. M. Yassin
    • 2
  • K. K. Varma
    • 1
  1. 1.Division of Pediatric SurgeryQatif Central HospitalQatifSaudi Arabia
  2. 2.Department of SurgeryQatif Central HospitalQatifSaudi Arabia
  3. 3.Department of Internal MedicineQatif Central HospitalQatifSaudi Arabia

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