Low Complication Rate for Peds Laparoscopic Cholecystectomy

Posted on Sat, Aug 23, 2014
Low Complication Rate for Peds Laparoscopic Cholecystectomy

Zero common bile duct injuries; 4.5 percent have post-op complications; median hospital stay one dayFRIDAY, Aug. 15, 2014 (HealthDay News) -- For pediatric patients, laparoscopic cholecystectomy is associated with low complication rates and short postoperative hospital stays, according to research published in the June issue of Surgical Laparoscopy, Endoscopy & Percutaneous Techniques.

Moiz M. Zeidan, M.B.B.S., from the Mayo Clinic in Rochester, Minn., and colleagues performed a retrospective chart review of children (aged younger than 18 years) who underwent laparoscopic cholecystectomy at a single institution between 1990 and 2010. The authors sought to better understand the complications and outcomes associated with this procedure in the pediatric population.

The researchers identified 325 cases of cholecystectomy, of which 62.2 percent were performed laparoscopically. Symptomatic cholelithiasis was the primary indication for surgery (45.5 percent). In 12.4 percent of patients, preoperative endoscopic retrograde cholangiopancreatography was performed. In 22.3 percent of patients there were variations in anatomy and technical difficulties. In 9.9 percent of patients, intraoperative cholangiogram was performed, and concomitant splenectomy was performed in 7.9 percent. A lack of clarity resulted in an open approach in 4 percent of cases. Zero common bile duct injuries were reported, but spillage of bile was observed in 5.9 percent of patients. In 4.5 percent of patients there were postoperative complications, including wound infection, retained stones, abdominal abscess, and biloma. There was a one-day median postoperative hospital stay. Recurrence of abdominal pain without associated pathology occurred in 9.4 percent of patients.

"Laparoscopic cholecystectomy in the pediatric population results in short postoperative hospital stay and has low complication rates," the authors write.

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