medigraphic.com
SPANISH

Revista Mexicana de Pediatría

ISSN 0035-0052 (Print)
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
    • Send manuscript
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2021, Number 3

<< Back Next >>

Rev Mex Pediatr 2021; 88 (3)

Laparoscopic cholecystectomy in pediatrics: 10-year results in a second-level hospital in Mexico City

Galván-Montaño A, García-Corral JR, Zubillaga-Mares A, Suárez-Roa ML, García-Moreno S
Full text How to cite this article 10.35366/102188

DOI

DOI: 10.35366/102188
URL: https://dx.doi.org/10.35366/102188

Language: Spanish
References: 24
Page: 93-95
PDF size: 157.72 Kb.


Key words:

Laparoscopic cholecystectomy, obesity, gallbladder disease, children, adolescent.

ABSTRACT

Introduction: In recent decades, an increase in the frequency of cholecystectomies in children has been described. Currently, laparoscopic cholecystectomy is the recommended treatment. The objective of this study is to describe the clinical data of pediatric patients undergoing laparoscopic cholecystectomy in a second-level hospital. Material and methods: This is a descriptive and retrospective study. Clinical records of pediatric patients who underwent laparoscopic cholecystectomy in the last 10 years were reviewed. Results: Sixty-nine files were reviewed. Sixty-two were women (90%) and seven men (10%), whose age ranged from three to 16 years. 31.8% were overweight/obese. The most frequent surgical indication was uncomplicated chronic gallstone cholecystitis (39.2%), followed by lithiasic cholecystitis complicated by pancreatitis (27.6%). There were no complications or surgical reconversion; the mean time of hospitalization was four days. Conclusions: Laparoscopic cholecystectomy appears to be an effective and safe procedure in pediatric patients.


REFERENCES

  1. Miltenburg DM, Schaffer R 3rd, Breslin T, Brandt ML. Changing indications for pediatric cholecystectomy. Pediatrics. 2000; 105(6): 1250-1253.

  2. Waldenhausen JH, Benjamin DR. Cholecystectomy is becoming an increasingly common operation in children. Am J Surg. 1999; 177(5): 364-367.

  3. Kaechele V, Wabitsch M, Thiere D, Kessler AL, Haenle MM, Mayer H et al. Prevalence of gallbladder stone disease in obese children and adolescents influence of the degree of obesity, sex and pubertal development. J Pediatr Gastroenterol Nutr. 2006; 42(1): 66-70.

  4. Garey CL, Laituri CA, Keckler SJ, Ostlie DJ, Stagg HW, Little DC et al. Laparoscopic cholecystectomy in obese and nonobese children. J Surg Res. 2010; 163(2): 299-302.

  5. Vegunta KR, Raso M, Pollock, Misra S, Wallace LJ, Torres A Jr et al. Biliary dyskinesia: the most common indication of cholecystectomy in children. Surgery. 2005; 138(4): 726-733.

  6. Kaye AJ, Jalta M, Mattei P, Kelly J, Nance ML. Use of laparoscopic cholecystectomy for biliary dyskinesia in the child. J Pediatr Surg. 2008; 43(6): 1057-1059.

  7. Constantinou C, Sucandy I, Ramenofsky M. Laparoscopic cholecystectomy for biliary dyskinesia in children: report of 100 cases from a single institution. Am Surg. 2008; 74(7): 587-592.

  8. Wesdorp I, Bosman D, de Graaff A, Aronson D, van der Blij F, Taminiau J. Clinical presentation and predisposing factors of cholelithiasis and sludge in children. J Pediatr Gastroenterol Nutr. 2000; 31(4): 411-417.

  9. Herzog D, Bouchard G. High rate of complicated idiopathic gallstone disease in pediatric patients of a North American tertiary care center. World J Gastroenterol. 2008; 14(10): 1544-1548.

  10. Gumiero AP, Bellomo-Brandao MA, Costa-Pinto EA. Gallstones in children with sickle cell disease followed up at a Brazilian hematology center. Arq Gastroenterol. 2008; 45(4): 313-318.

  11. Schirmer BD, Winters KL, Edlich RF. Cholelithiasis and cholecystitis. J Long Term Eff Med Implants. 2005; 15(3): 329-338.

  12. Yokoe M, Hata J, Takada T, Stransberg SM, Asbun HJ, Wakabayashi G et al. Tokyo Guidelines 2018: diagnostic criteria and severity grading of acute cholecystitis (with videos). J Hepatobiliary Pancreat Sci. 2018; 25(1): 41-54.

  13. Hill SJ, Wulkan ML, Parker PM, Jones TK, Heiss KF, Clifton MS. Management of the pediatric patient with choledocholithiasis in an era of advanced minimally invasive techniques. J Laparoendosc Adv Surg Tech A. 2014; 24(1): 38-42.

  14. Miura F, Okamoto K, Takada T, Strasberg SM, Asbun HJ, Pitt HA et al. Tokyo Guidelines 2018: initial management of acute biliary infection and flowchart for acute cholangitis. J Hepatobiliary Pancreat Sci. 2018; 25(1): 31-40.

  15. Antunes H, Nascimento J, Mesquita A, Correia-Pinto J. Acute pancreatitis in children: a tertiary hospital report. Scand J Gastroenterol. 2014; 49(5): 642-647.

  16. Tsakayannis DE, Kozakewich HP, Lillehei CW. Acalculous cholecystitis in children. J Pediatr Surg. 1996; 31(1): 127-130.

  17. Poddighe D, Tresoldi M, Licari A, Marseglia GL. Acalculous acute cholecystitis in previously healthy children: general overview and analysis of pediatric infectious cases. Int J Hepatol. 2015; 2015: 1-6.

  18. Preston JF, Diggs BS, Dolan JP, Gilbert EW, Schein M, Hunter JG. Biliary dyskinesia: a surgical disease rarely found outside the United States. Am J Surg. 2015; 209(5): 799-803.

  19. Lacher M, Yannam GR, Muensterer OJ, Aprahamian CJ, Haricharan RN, Perger L et al. Laparoscopic cholecystectomy for biliary dyskinesia in children: frequency increasing. J Pediatr Surg. 2013; 48(8): 1716-1721.

  20. Edwards MA, Mullenbach B, Chamberlain SM. Pain provocation and low gallbladder ejection fraction with CCK cholescintigraphy are not predictive of chronic acalculous gallbladder disease symptom relief after cholecystectomy. Dig Dis Sci. 2014; 59(11): 2773-2778.

  21. Kelley-Quon LI, Dokey A, Jen HC, Shew SB. Complications of pediatric cholecystectomy: impact from hospital experience and use of cholangiography. J Am Coll Surg. 2014; 218(1): 73-81.

  22. Bibza J, Sykora L, Cingel V, Duchaj B, Babala J, Kralik R et al. Laparoscopic cholecystectomy in children. Bratisl Lek Listy. 2013; 114(4): 230-231.

  23. Khoo AK, Cartwright R, Berry S, Davenport M. Cholecystectomy in English children: evidence of an epidemic (1997-2012). J Pediatr Surg. 2014; 49(2): 284-288.

  24. Langballe KO, Bardram L. Cholecystectomy in Danish children- a nationwide study. J Pediatr Surg. 2014; 49(4): 626-630.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Rev Mex Pediatr. 2021;88