Needlescopic Versus Multi-Port Laparoscopic Cholecystectomy in Children, a randomized Controlled Study

Background: Gallbladder surgery, specifically cholecystectomy, is a relatively uncommon procedure in pediatric populations. However, its incidence is on the rise due to increased recognition of gallbladder diseases such as cholelithiasis, often linked to conditions like obesity or hemolytic disorders. Objective: Our Study evaluates the comparative efficacy and outcomes of needle-scopic cholecystectomy (NC) versus multi-port laparoscopic cholecystectomy (LC) in pediatric patients. Patients and Methods: A randomized controlled trial was conducted involving 40 children with gallbladder diseases requiring surgical intervention, during the period from 2022-2024. Participants were assigned to either NC or LC groups, with primary outcomes including operative time, intraoperative complications, postoperative recovery, and cosmetic results. Results: NC demonstrated slightly longer operative times but offered significant advantages in postoperative recovery and cosmetic satisfaction, with minimal scarring and faster return to normal activities. Both techniques exhibited comparable safety profiles, confirming the feasibility of NC in pediatric surgery. Conclusion: These findings suggest that NC is a viable and advantageous alternative to LC, particularly for improving cosmetic outcomes. More researches in the future should investigate long-term outcomes and improve the technique for wider implementation.