Same Anesthesia Endoscopic Retrograde Cholangiopancreatography and Laparoscopic Cholecystectomy: The Pediatric ERCP Database Intiative Experience

Autor: Mark V. Mazziotti, Sarah C. Fallon, Mary L. Brandt, Matthew J. Giefer, Cynthia M. Tsai, David A. Lazar, Brad Barth, Mercedes Martinez, David M. Troendle, Oluyinka O. Olutoye, Douglas S. Fishman
Rok vydání: 2020
Předmět:
Zdroj: Journal of Pediatric Gastroenterology & Nutrition. 71:203-207
ISSN: 1536-4801
0277-2116
DOI: 10.1097/mpg.0000000000002722
Popis: Background Successful combined Laparoscopic cholecystectomy and endoscopic retrograde cholangiopancreatography (ERCP) in the Same Session (LESS) has been reported in several studies in adult patients with choledocholithiasis. Methods This was a retrospective analysis of data collected prospectively in the Pediatric ERCP Database Initiative using REDCAP. Adverse events were recorded separately and were reviewed for this study. The primary outcome was the hospitalization days. Secondary outcomes included total duration of anesthesia, morbidity, time from diagnosis to procedure. Results Twenty-five patients underwent LESS, and 42 underwent the traditional ERCP followed by laparoscopic cholecystectomy. The groups were similar in age, weight, ASA. The median length of stay in the LESS group was 3 days, compared with 4 days (P = .32). Total procedure time was similar between the 2 groups, but anesthesia time was shorter in the LESS group (P = .0401). Morbidity was similarly low between the 2 groups. Conclusions Relative to 2 interventions, a single session combining ERCP and laparoscopic cholecystectomy in pediatric patients is effective with a similar adverse event rate and length of stay. The use of a single sedation and reduced total anesthesia time are potential benefits of this approach. This modality may be considered for pediatric patients with choledocholithiasis with or without hemolytic disease.
Databáze: OpenAIRE
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