Who should perform pediatric laparoscopic cholecystectomies? A systematic review of the literature
Topic overview
Systematic review comparing outcomes of pediatric laparoscopic cholecystectomy performed by high-volume adult surgeons versus pediatric surgeons across 19,993 patients. High-volume adult surgeons demonstrated lower complication rates, shorter hospital stays, and reduced costs for simple cholelithiasis cases, while complex patients benefited from pediatric surgeon expertise and multidisciplinary care.
Key takeaways
- High-volume adult surgeons show lower complication rates and shorter hospital stays for pediatric laparoscopic cholecystectomy.
- For simple cholelithiasis in children, high-volume adult surgeons demonstrate statistically significant reductions in complications and readmissions.
- Pediatric surgeons are recommended for complex cases requiring multidisciplinary pediatric specialist input beyond the surgical procedure.
- Overall morbidity for pediatric LC is comparable to adult populations when performed by experienced surgeons.
- Surgeon volume appears more predictive of outcomes than specialty training for straightforward pediatric gallbladder disease.
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How to cite: GlobalCastMD. Who should perform pediatric laparoscopic cholecystectomies? A systematic review of the literature. GlobalCastMD Medical Library. 2024-07-04. https://dev.library.globalcastmd.com/article/8801?via_space=staycurrentmd
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