Abstract
BackgroundBacterial meningitis is the most common cause of secondary sensori-neural hearing loss in pediatrics. Due to concomitant neurological squeal such as seizure, visual impairment and hydrocephalus the successful outcome of...
Highlights
Laparoscopic appendectomy (LA) in children is considered a safe and useful procedure compared with the open (O) appendectomy
As the preferred technique for cholecystectomy in children, we aim to review our experience with laparoscopic cholecystectomy in the pediatric population to better understand the associated complications and outcomes
Laparoscopic cholecystectomy in pediatric population results in short postoperative hospital stays and has low complication rates. It leads to relatively high symptom relief
Summary
We performed an IRB approved, retrospective chart review of children ≤ 18 years who underwent cholecystectomy at a single academic institution between the years 1990 and 2010. Results Of the 325 cases of cholecystectomy, 202 (62.2%) were performed laparoscopically. Preoperative endoscopic retrograde cholangiopancreatography (ERCP) was performed in 25 (12.4%) of cases. Intraoperative cholangiogram was performed in 20 (9.9%) and concomitant splenectomy was undertaken in 16 (7.9%) cases. Postoperative complications including wound infection 4, retained stones 4, abdominal abscess 1, and biloma 0, totalled 9 patients (4.5%). Median postoperative hospital stay was 1 day and 19 (9.4%) patients had recurrence of abdominal pain without associated pathology. In this cohort, average follow-up was 54 months
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