Bora SOLMAZ, Gülce HAKGÜDER, Oğuz ATEŞ, Mustafa OLGUNER, Feza M. AKGÜR

Çocuklarda laparoskopik kolesistektomi

Amaç: Günümüzde hemolitik ya da non-hemolitik kolelitiyazis ve safra kesesi diskinezisi gibi safra kesesi hastalıklarının tedavisinde laparoskopik kolesistektomi çocuklarda da seçkin ve güvenilir bir tedavi yöntemi olarak yer almaktadır. Çocuklarda laparoskopik kolesistektomi deneyimlerimizi sunmak istiyoruz. Gereç ve yöntem: Kliniğimizde 1993-2009 yılları arasında kolelitiyazis, safra kesesi diskinezisi ve safra kesesinin yapısal anomalileri tanılarıyla laparoskopik kolesistektomi uygulanan 22 hastanın kayıtları geriye dönük olarak incelendi. Bulgular: Yaşları 1 ile 17 arasında (ortalama 9,0 ± 8), vücut ağırlıkları 8 ile 70 kg (ortalama 35 ± 25) arasında değişen toplam 22 hastaya (15 erkek, 7 kız) laparoskopik kolesistektomi uygulandı. Safra kesesi diskinezili 3 hastayla birlikte 19'unda sadece laparoskopik kolesistektomi uygulandı. Herediter sferositozlu ve kolelitiyazisli 3 hastaya laparoskopik kolesistektomi beraberinde splenektomi de uygulandı. Sonuç: Laparoskopik kolesistektomi, iyi kozmetik sonuçlar doğurması, ameliyat sonrası daha az ağrılı oluşturması ve hastaların hızla günlük aktivitelerine dönmelerini sağlaması açısından çocuklarda safra kesesi hastalıklarının tedavisinde ilk seçenek olmalıdır.

Laparoscopic cholecystectomy in children

Objective: Nowadays, laparoscopic cholecystectomy is the preferred treatment modality for pediatric gallbladder diseases like as hemolytic or non-hemolytic cholelithiasis and biliary dyskinesia. We herein present our laparoscopic cholecystectomy experinces in children. Material and method: The hospital records of 22 patients with cholelithiasis, biliary dyskinesia and gallbladder anomalies who underwent laparoscopic cholecystectomy between 1993 and 2009 were evaluated retrospectively. Results: Twenty-two patients (15 boys, 7 girls) aging 1 and 17 years (mean 9.0 ± 8) and their body weight were between 8 and 70 kg (mean 35 ± 25) were underwent laparoscopic cholecystectomy. Nineteen patients, 3 of them with biliary dyskinesia, underwent only laparoscopic cholecystectomy. The other 3 patients with herediditary spherocytosis and cholelithiasis underwent laparoscopic cholecystectomy and sple- nectomy. Conclusion: Laparoscopic cholecystectomy should be the first choice in the treatment of pediatric gallbladder diseases as, yields beter cosmetic results, lesser pain and regaining earlier daily activities.

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