Cholecystectomy using single-incision pediatric endosurgery: Technique and initial experience in the first 25 cases

Cecilia Puga Nougues, Carroll M. Harmon, Erik N. Hansen, Keith E. Georgeson, Oliver J. Muensterer

Research output: Contribution to journalArticle

21 Scopus citations

Abstract

Background: Laparoscopic cholecystectomy has become the standard, in most pediatric surgery centers. In the search for a less-invasive procedure, a single-incision laparoscopic approach has been reported in adults and very few children. Objective: The aim of this study was to present our initial experience of cholecystectomy, using single-incision pediatric endosurgery (SIPES), including the technique, the intraoperative challenges, and the outcome. Methods: All pediatric patients who underwent a SIPES cholecystectomy from March through September 2009 were prospectively evaluated. Results: Twenty-five children underwent a SIPES cholecystectomy. The most frequent indications were symptomatic cholelithiasis in 17 patients (68%) and biliary dyskinesia in 5 (20%). Five patients had sickle-cell anemia. The mean operative time was 73 minutes (range, 30-122). Median hospital stay was 1 day. In 17 patients (68%), a percutaneous 2-mm grasper was used to retract the gallbladder over the liver. No complications were noted, and no conversion to an open procedure was required. In 5 patients, additional trocars were added. On follow-up, 3 days to 2 months later, no complications were noted. No patients were readmitted, and there were no wound infections. Conclusions: Cholecystectomy, when using the SIPES approach in children, is a safe, reasonable alternative to conventional laparoscopy, leaving an inconspicuous scar. Whether SIPES offers any further benefit to the patient, besides improved cosmesis, should be evaluated in future studies.

Original languageEnglish (US)
Pages (from-to)493-496
Number of pages4
JournalJournal of Laparoendoscopic and Advanced Surgical Techniques
Volume20
Issue number5
DOIs
StatePublished - Jun 1 2010
Externally publishedYes

ASJC Scopus subject areas

  • Surgery

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