Cholecystectomy in children: Why and how?

Authors : Mithat GÜNAYDIN, Burak TANDER, Dilek DEMİREL, Ünal BIÇAKCI, Ayşe Bahar ÖNAKSOY, Ender ARITÜRK, Ferit BERNAY

Pages : 15-18

View : 41 | Download : 5

Publication Date : 2016-02-20

Article Type : Research Paper

Abstract :We aimed to evaluate etiology and outcome of children with cholecystectomy. Between June 2006 and June 2015, sixty one patients with cholecystectomy were reviewed in order to age, sex, indication, procedures, length of stay and complications. There were 35 female, 26 male, total of 61 patients insert ignore into journalissuearticles values(2 days -18 years, median 8 years);. The indications for surgery were idiopathic cholelithiasis in 38 insert ignore into journalissuearticles values(62.2%);, hemolytic anemia in 14 insert ignore into journalissuearticles values(22.9%);, bile duct cyst in 5 insert ignore into journalissuearticles values(8.1%);, gallbladder polyps in 2 insert ignore into journalissuearticles values(3.2%); and pancreatitis and short bowel syndrome in one insert ignore into journalissuearticles values(1.6%);. Although the patients with cholelithiasis received ursodeoxycholic acid preoperatively, all of them needed cholecystectomy. Fifty insert ignore into journalissuearticles values(81.9%); patients underwent laparoscopic surgery, 11 insert ignore into journalissuearticles values(18.1%); patients open surgery. In those with open surgery, four patients’ indications were common bile duct cysts, only one patient needed the open surgery because of a previous surgery. The patients’ length of stay was between two days to 110 days insert ignore into journalissuearticles values(median five days);. Postoperatively, three insert ignore into journalissuearticles values(4.9%); patients developed bile leakage. We just put a drain in one of them. The other two patients required a Roux-en-Y choledocojejunostomy. The patient with short bowel syndrome died. Although the number of indications and variations for cholecystectomy are growing, many of them are still grouped under the name of “idiopathic or nonhemolytic cholelithiasis”. Most of the cholecystectomies’ outcome are excellent, however, it is not a complication-free operation. 
Keywords : Cholecystectomy, Cholelithiasis, Gallbladder, Gallstone

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