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首页> 外文期刊>Surgical Endoscopy >Elective laparoscopic cholecystectomy.
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Elective laparoscopic cholecystectomy.

机译：选择性腹腔镜胆囊切除术。

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BACKGROUND: Gallbladder stones are very common in patients with sickle cell disease and are the cause of recurrent abdominal pain. Their management has been highly controversial, especially for children. Nonoperated patients and those treated on an emergency basis have a very high rate of morbidity (>50%). METHODS: We performed a retrospective review of a series of 29 homozygous SS sickle cell children who underwent laparoscopic cholecystectomy between 1991 and April 1998. RESULTS: Only in one case a conversion was necessary (early in the series). Exploration of the common bile duct was done via intraoperative cholangiography. There were no mortalities. The morbidity rate was 17%; (however, of the five patients concerned, four suffered from hyperthermia for 2 days. All of the children were improved and enjoyed resolution of their abdominal pain. CONCLUSIONS: We believe that elective laparoscopic cholecystectomy at the earliest time possible, along with correct perioperative management, is the treatment of choice for cholelithiasis in children with sickle cell disease.
机译：背景：胆囊结石在镰状细胞病患者中非常常见，并且是复发性腹痛的原因。他们的管理一直存在争议，尤其是对于儿童。非手术患者和急诊患者的发病率很高（> 50％）。方法：我们对1991年至1998年4月间接受腹腔镜胆囊切除术的29例纯合SS镰状细胞儿童进行了回顾性研究。结果：仅在一种情况下需要进行转化（该系列中的早期）。通过术中胆道造影检查胆总管。没有死亡。发病率为17％; （但是，在这5名患者中，有4名患者经历了2天的热疗。所有患儿均得到了改善，腹痛得到了缓解。结论：我们认为，尽早进行选择性腹腔镜胆囊切除术，并进行正确的围手术期处理，是镰状细胞性疾病患儿胆石症的首选治疗方法。

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