TÇCD 2024 41st Annual Congress of Turkish Pediatric Surgical Association Congress

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Oral Presentation - 19

Lessons from a complicated laparoscopic cholecystectomy

M Ben Fredj, S Ben Youssef, M Messaoud, S Sfar, M Mekki, M Belghith, l sahnoun, R Ben Salah, A Ksia
Fattouma Bourguiba Hospital Monastir Tunisia

Introduction :Laparoscopic cholecystectomy has become the preferred technique for treatement of pediatric galbladder disease

However complications after laparoscopic cholecystectomy in children have not been clearly characterized.

These complications should be well managed to avoid severe repercussions for the patient and the surgeon.

Case report : 13 years boy with cerebral palsy –recurrent episodes of abdominal pain and jaudice

The ultrasound showed Galbladder stones

The ethiological assesment was negative

Laparoscopic cholecystectomy was performed and was difficult due to adhesions –No Bile leakage was noticed

Three days after surgery the patient presented vomiting abdominal distension and jaudice.

The diagnosis of biliary leakage was confirmed .

Three weeks after the the first surgery and after many discussions the patient was reoperated

A complete section of the common biliary duct (CBD)was noticed and Roux-en-Y Hepatico jejunostomy was performed .

The patient did well and was discharged the follow up was unenvetfull.

Conclusion :

CBD section after laparoscopic cholecystectomy result in a substantial potential for morbidity and mortality for patients,and is one of the most common reasons for malpractice claims against surgeons.

M Ben Fredj, S Ben Youssef, M Messaoud, S Sfar, M Mekki, M Belghith, l sahnoun, R Ben Salah, A Ksia
Fattouma Bourguiba Hospital Monastir Tunisia

Introduction :Laparoscopic cholecystectomy has become the preferred technique for treatement of pediatric galbladder disease

However complications after laparoscopic cholecystectomy in children have not been clearly characterized.

These complications should be well managed to avoid severe repercussions for the patient and the surgeon.

Case report : 13 years boy with cerebral palsy –recurrent episodes of abdominal pain and jaudice

The ultrasound showed Galbladder stones

The ethiological assesment was negative

Laparoscopic cholecystectomy was performed and was difficult due to adhesions –No Bile leakage was noticed

Three days after surgery the patient presented vomiting abdominal distension and jaudice.

The diagnosis of biliary leakage was confirmed .

Three weeks after the the first surgery and after many discussions the patient was reoperated

A complete section of the common biliary duct (CBD)was noticed and Roux-en-Y Hepatico jejunostomy was performed .

The patient did well and was discharged the follow up was unenvetfull.

Conclusion :

CBD section after laparoscopic cholecystectomy result in a substantial potential for morbidity and mortality for patients,and is one of the most common reasons for malpractice claims against surgeons.

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