Balloon sphincteroplasty in pediatric laparoscopic common bile duct exploration
| Autor: | Lucas P. Neff, Leah M. Sieren, John K. Petty, Kristen A. Zeller, Thomas Pranikoff, Maggie E. Bosley, Michaela Gaffley |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Adolescent medicine.medical_treatment Balloon 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Sphincter of Oddi medicine Humans Fluoroscopy Child Laparoscopy Cholangiopancreatography Endoscopic Retrograde Common Bile Duct Endoscopic retrograde cholangiopancreatography medicine.diagnostic_test Common bile duct business.industry Pediatric Surgeon General Medicine Surgery Choledocholithiasis medicine.anatomical_structure Cholecystectomy Laparoscopic 030220 oncology & carcinogenesis Pediatrics Perinatology and Child Health Cholecystectomy business |
| Zdroj: | Journal of Pediatric Surgery. 56:825-828 |
| ISSN: | 0022-3468 |
| DOI: | 10.1016/j.jpedsurg.2020.12.001 |
| Popis: | The management of choledocholithiasis in children and teenagers is often a two-procedure process with laparoscopic cholecystectomy (LC) and either pre- or post-operative endoscopic retrograde cholangiopancreatography (ERCP). The addition of laparoscopic common bile duct exploration (LCBDE) during LC can provide definitive treatment for choledocholithiasis during a single anesthetic event. In an effort to minimize sedation and radiation exposure from fluoroscopy, we have employed dilating balloons via a transcystic approach to stretch the sphincter of Oddi with subsequent ductal flushing. We describe the technique of balloon sphincteroplasty as a straightforward adjunct within the pediatric surgeon's skill set to manage choledocholithiasis during LC and our clinical experience. |
| Databáze: | OpenAIRE |
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