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Abstract Introduction: Gallbladder disease incidence in the pediatric population and its complications have been consistently increasing. The standard treatment for choledocholithiasis involves performing endoscopic retrograde cholangiopancreatography (ERCP) followed by laparoscopic cholecystectomy (LC). These therapeutic methods require pediatric patients to undergo two different procedures. This study aims to demonstrate the safety of performing ERCP and LC in a single session in patients diagnosed with choledocholithiasis. Design and Methods: A prospective cohort study was conducted on patients under 18 years diagnosed with choledocholithiasis. They were divided into two groups: the "intervention group" underwent simultaneous ERCP and LC, while the "control group" underwent ERCP and LC in two separate sessions. Results: The present study includes forty-two patients, with 27 assigned to the “intervention group” and 15 to the “control group”. The difference in the average anesthesia time between the two groups was significant (p=0.001). Two patients in the "control group" developed cholecystitis while awaiting LC. Discussion: Most patients endured both procedures without experiencing significant complications. The main goals were to reduce the total anesthesia duration and the morbidity associated with gallbladder stones. This prospective study, conducted at two centers, supports the safety of performing both procedures simultaneously in pediatric patients.
Santangelo et al. (Fri,) studied this question.
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