Kong Chihuan,Diao Mei,Hao Xianhua,et al.Treatment of pediatric cholecystolithiasis through multiple endoscopes plus gallbladder preserving lithotomy[J].Journal of Clinical Pediatric Surgery,,21():627-631.[doi:10.3760/cma.j.cn101785-202205005-006]
Treatment of pediatric cholecystolithiasis through multiple endoscopes plus gallbladder preserving lithotomy
- Keywords:
- Choledochoscope; Laparoscope; Duodenoscope; Gallbladder-Preserving Stone Extraction; Child; Gallstone
- Abstract:
- Objective To explore the efficacies of treating pediatric cholecystolithiasis through multiple endoscopes plus gallbladder preserving lithotomy.Methods From November 2015 to March 2021, 54 cases of cholecystolithiasis were treated by choledochoscope, laparoscope and duodenoscope.Among them, 12 children were associated with other diseases, such as hereditary globocythemia (n=6), broad bean disease (n=1), phenylketonuria (n=1), pancreatitis (n=1), post-renal chemotherapy (n=1), choledocholithiasis (n=1) and gallbladder polyp (n=1).Cholecystectomy was successful (n=51) and gallbladder was removed due to stone incarceration (n=3).Children with successful cholelithotomy were followed up for 1 year or more.Results The overall recurrence rate was 15.7%(8/51).Among 12 patients with other preoperative diseases, recurrence rate was 41.7%.In 39 cases without concomitant disease, recurrence rate was 7.7%(3/39).The recurrence rate of gallstones with other diseases was significantly higher than that without concomitant diseases.The content of cholesterol ranged from 0% to 99.6%.Children without recurrence had no abdominal pain or jaundice, decent ontogeny and normal gallbladder function and morphology.Conclusion Choledochoscope plus laparoscope and duodenoscope offer the advantages of mini-invasiveness and quicker recovery for pediatric cholecystolithotomy.Both shape and function of gallbladder are preserved and it promotes the growth and development of children.
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Memo
收稿日期:2022-05-02。
基金项目:中国医学科学院小儿外科微创诊疗创新单元（2021RU015）
通讯作者:李龙,Email:lilong23@126.com