Laparoscopic cholecystectomy in children with sickle cell disease.

Autor: Hatley RM; Department of Surgery, Medical College of Georgia, Augusta., Crist D, Howell CG, Herline AJ, Gadacz TR
Jazyk: angličtina
Zdroj: The American surgeon [Am Surg] 1995 Feb; Vol. 61 (2), pp. 169-71.
Abstrakt: Since 1991, laparoscopic cholecystectomy has been utilized in children with sickle cell disease, predominantly because of the decreased pain and shorter hospitalization. We believe that outpatient laparoscopic cholecystectomy or even a 24 hour hospitalization is not indicated in the patient with sickle cell disease. Perioperative complications include bleeding diathesis, vaso-occlusive phenomena, and delayed hemolytic transfusion reactions, although clotting parameters can be normal.
Databáze: MEDLINE