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Original ArticleOpen Access
Laparoscopic Cholecystectomy Versus Open Cholecystectomy in Children
Ruangtrakool R 
,
Laohapensang M ,
Mungnirandr A ,
Sathomkich C
,
Laohapensang M ,
Mungnirandr A ,
Sathomkich C MONGKOL LAOHAPENSANG, M.D.*,
CHANA SATHORNKICH, M.D.*
Introduction:
Laparoscopic cholecystectomy (LC) is well accepted as the standard chole-
cystectomy only in adult patients. However, the advantages of LC over open cholecystectomy have
never been proved in pediatric patients because the number of pediatric cholecystectomies is limited
as well as the faster ability of pediatric patients to resume their normal activity.
Material and Method:
Retrospective study of 42 pediatric cholecystectomies (laparo-
scopic cholecystectomy (n
=
8) (LCs), open cholecystectomy alone (n
=
8) (OCs) and open cholecyst-
ectomy concomitant with splenectomy (n
=
26)(0Cs
+
S)) done in Siriraj University Hospital,
Bangkok, Thailand between 1992 and 2000 was conducted.
Results:
Statistical comparison revealed that LC was superior to OC in regard to diet
resumption. LCs resumed soft diet on 1.38 days, whereas OCs and OCs
+
S could resume soft diet on
3.38 and 3.35 days respectively. The average length of hospitalization following LCs was signifi-
cantly shorter than OCs' and OCs
+
S' ones (3.00
vs
8.38 and 4.85 days respectively). There was
no morbidity and mortality in LCs, whereas two OCs and three OCs
+
S had complications.
Conclusion:
In this preliminary study, laparoscopic cholecystectomy is a preferred method
of cholecystectomy in children because it has a shorter post-operative interval of diet resumption and
shortens hospitalization with minimal morbidity. However, this study has a limited number of patients
and further study is still required to conclude the benefits of LC.
Key word
: Cholecystectomy, Laparoscopic, Cholelithiasis, Gall Bladder, Child, Infant, Adoles-
cence, Human, Retrospective Studies, Length of Stay, Treatment Outcome
CHANA SATHORNKICH, M.D.*
Introduction:
Laparoscopic cholecystectomy (LC) is well accepted as the standard chole-
cystectomy only in adult patients. However, the advantages of LC over open cholecystectomy have
never been proved in pediatric patients because the number of pediatric cholecystectomies is limited
as well as the faster ability of pediatric patients to resume their normal activity.
Material and Method:
Retrospective study of 42 pediatric cholecystectomies (laparo-
scopic cholecystectomy (n
=
8) (LCs), open cholecystectomy alone (n
=
8) (OCs) and open cholecyst-
ectomy concomitant with splenectomy (n
=
26)(0Cs
+
S)) done in Siriraj University Hospital,
Bangkok, Thailand between 1992 and 2000 was conducted.
Results:
Statistical comparison revealed that LC was superior to OC in regard to diet
resumption. LCs resumed soft diet on 1.38 days, whereas OCs and OCs
+
S could resume soft diet on
3.38 and 3.35 days respectively. The average length of hospitalization following LCs was signifi-
cantly shorter than OCs' and OCs
+
S' ones (3.00
vs
8.38 and 4.85 days respectively). There was
no morbidity and mortality in LCs, whereas two OCs and three OCs
+
S had complications.
Conclusion:
In this preliminary study, laparoscopic cholecystectomy is a preferred method
of cholecystectomy in children because it has a shorter post-operative interval of diet resumption and
shortens hospitalization with minimal morbidity. However, this study has a limited number of patients
and further study is still required to conclude the benefits of LC.
Key word
: Cholecystectomy, Laparoscopic, Cholelithiasis, Gall Bladder, Child, Infant, Adoles-
cence, Human, Retrospective Studies, Length of Stay, Treatment Outcome
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