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179426

Laparoscopic cholecystectomy and endoscopic retrograde cholangiopancreatography for children with cholecystocholedocholithiasis

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Last updated: 28 Dec 2024

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Abstract

Purpose: Is to evaluate efficacy and safety of endoscopic retrograde cholangiopancretography (ERCP)  and laparoscopic cholecystectomy in children  with  calcular  obstructive jaundice. Materials  and methods: Eleven children suffering.from calcular cholecystis with calcular obstructive jaundice  were diagnosed  and selected  after  completion of full laboratory and radiological investigations (work-up) in the period.from March 2005 till June 2010. They were admitted in Surgery Department Zagazig University Hospitals. All children underwent Endoscopic retrograde cholangiopancretography (ERCP) to detect stone(s) in biliary tree prior to laparoscopic cholecystectomy, and 9 of the 11 children also underwent endoscopic biliary drainage with stent placement in same session.In the other 2 patients' sludges and stone were cleared using basket forceps prior to laparoscopic cholecystectomy. Results: ERCP was adequate in helping to predict biliary ductal stones and removal of them in all patients  with no reported  diagnostic or therapeutic failure. The stent placement  was indicated  in 9 of 11 (81.8%)  children,· the other two children (18.2%)  underwent  just stone extraction and clearance of biliary tree. Two to three weeks later laparoscopic cholecystectomy was successfully performed to all children with removal of stent after 2 to three weeks. There were reported complications in 3(27.3%) cases, one (9%) mild pancreatitis and 2 (18.3) fever after ERCP. There were no reported complications  in the other 2 patients after laparoscopic cholecystectomy. Conclusion: This study suggests that ERCP followed by laparoscopic cholecystectomy is the choice line of management in children with calcular obstructive jaundice and can be done safely with accepted complications.

DOI

10.21608/asjs.2012.179426

Authors

First Name

Safwat

Last Name

K

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Affiliation

Department of General Surgery, Zagazig University Hospitals, Egypt.

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First Name

Ismaiel M

Last Name

Tantawy

MiddleName

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Affiliation

Department of General Surgery, Zagazig University Hospitals, Egypt.

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Orcid

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First Name

Awni

Last Name

Elzeftawy

MiddleName

-

Affiliation

Department of General Surgery, Zagazig University Hospitals, Egypt.

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Orcid

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First Name

Nawel

Last Name

Elsayed

MiddleName

-

Affiliation

Department of General Surgery, Zagazig University Hospitals, Egypt.

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Orcid

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First Name

Hosam

Last Name

Elsaadany

MiddleName

-

Affiliation

Pediatric Gastroenterology Unit, Zagazig University Hospitals, Egypt.

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Volume

5

Article Issue

1

Related Issue

25654

Issue Date

2012-01-01

Receive Date

2021-06-22

Publish Date

2012-01-01

Page Start

185

Page End

190

Print ISSN

2090-7249

Online ISSN

3009-7509

Link

https://asjs.journals.ekb.eg/article_179426.html

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https://asjs.journals.ekb.eg/service?article_code=179426

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22

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Original Article

Type Code

1,943

Publication Type

Journal

Publication Title

Ain Shams Journal of Surgery

Publication Link

https://asjs.journals.ekb.eg/

MainTitle

Laparoscopic cholecystectomy and endoscopic retrograde cholangiopancreatography for children with cholecystocholedocholithiasis

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Article

Created At

23 Jan 2023