Laparoscopic Cholecystectomy in Paediatric Gall Stone Disease: Our Recent Experience

Ashish Lal Shrestha, Harshjeet Singh Bal .

Abstract


Aim: To assess the efficacy, safety and outcome of          laparoscopic cholecystectomy (LC) in management of        paediatric gall stone disease.

 Methods: A retrospective analysis of children undergoing LC for cholelithiasis between January 2014 and December 2014 was done.  The clinical profile, demographics, blood              investigations, ultrasound (USG) results, on table findings and postoperative complications along with recovery and histopathological findings were analysed.

 Results: During the study period of 12 months, 26 children (18 males and 8 females) with cholelithiasis underwent LC. Of these, 20 had presented with history of recurrent pain suggestive of a biliary colic, 2 had recurrent biliary           pancreatitis, 1 had hemolytic jaundice due to underlying  thalasemia and 3 were asymptomatic.

 The mean age was 9.1 years (range- youngest 8months to eldest 15 years).

 There were no intra or postoperative complications noted. The average duration of hospital stay was 2.5 days              (range 2–4). And average duration of follow up was 7 months post operatively.

 Conclusion: LC is an effective and safe surgical treatment for pediatric gall stone disease.

 Key words: Laparoscopic cholecystectomy; Paediatric Cholelithiasis

 


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References


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