A Review of 7 Cases of Laparoscopic Cholecystectomy for Pediatric Cholecystolithiasis

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  • MATAYOSHI Nobutaka
    Department of Surgery 1, School of Medicine, University of Occupational and Environmental Health, Japan
  • SATO Norihiro
    Department of Surgery 1, School of Medicine, University of Occupational and Environmental Health, Japan
  • OKIMOTO Takashi
    Department of Surgery 1, School of Medicine, University of Occupational and Environmental Health, Japan
  • TAJIMA Takehide
    Department of Surgery 1, School of Medicine, University of Occupational and Environmental Health, Japan
  • ARASE Koichi
    Department of Surgery 1, School of Medicine, University of Occupational and Environmental Health, Japan
  • SATO Nagahiro
    Department of Surgery 1, School of Medicine, University of Occupational and Environmental Health, Japan
  • TAMURA Toshihisa
    Department of Surgery 1, School of Medicine, University of Occupational and Environmental Health, Japan
  • SHIBAO Kazunori
    Department of Surgery 1, School of Medicine, University of Occupational and Environmental Health, Japan
  • HIGURE Aiichiro
    Department of Surgery, Kitakyushu General Hospital, Japan
  • HIRATA Keiji
    Department of Surgery 1, School of Medicine, University of Occupational and Environmental Health, Japan

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Other Title
  • 小児胆嚢結石症に対する腹腔鏡下胆嚢摘出術7例の検討
  • ショウニ タンノウ ケッセキショウ ニ タイスル フククウキョウ カ タンノウ テキシュツジュツ 7レイ ノ ケントウ

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Pediatric cholecystolithiasis is a relatively rare disease, but it is recently increasing in Japan. Laparoscopic cholecystectomy (LC) is a standard procedure for cholecystolithiasis not only in adults but also in children, and we are aggressively introducing single-incision laparoscopic cholecystectomy (SILC) at our hospital. We reviewed the patient characteristics, operation procedures and outcomes of 7 children (15 years old and under) with cholecystolithiasis who underwent LC in our hospital between August 1995 and December 2015. The 7 patients included 5 males and 2 females, with a mean age of 8 years 6 months. Underlying diseases were found in 5 patients (cerebral palsy in 2 patients, pancreaticobiliary maljunction with common bile duct stones in 1, acute lymphocytic leukemia in 1, hereditary stomatocytosis in 1), and none were found in the other 2. LC (3 conventional LC and 2 SILC) was performed in 5 of the patients. Laparoscopic choledocholithotomy was performed in 1 patient and laparoscopic splenectomy (LS) was performed in 1 patient at the same time. The mean operative time in all the cases of LC was 108 (70-140) minutes (conventional LC 113 (70-140) min, SILC 100 (90-100) min). Intraoperative cholangiography was performed in 4 cases and omitted in 3 cases. The only postoperative complication was a wound infection in 1 patient. The umbilical skin incision length in the SILC was 2.0 cm. We conclude that LC can be safely performed for children with cholecsytolithiasis, and that SILC is feasible and advantageous in terms of its improved cosmesis.

Journal

  • Journal of UOEH

    Journal of UOEH 39 (3), 223-227, 2017

    The University of Occupational and Environmental Health, Japan

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