Pediatric Gastroenterology Unit, Regina Margherita Children's Hospital, Azienda Ospedaliera Universitaria Città della Salute e della Scienza di Torino.
Department of Pediatric General Surgery, Regina Margherita Children's Hospital.
J Pediatr Gastroenterol Nutr. 2022 Jun 1;74(6):819-822. doi: 10.1097/MPG.0000000000003444. Epub 2022 Mar 7.
The incidence of choledocolithiasis is reported to be increasing in children. As for the adult population, several different therapeutic strategies have been described, however it is unclear which of those should be considered the gold standard. There is evidence-based literature in adults that supports a combined "rendez-vous" endoscopic retrograde cholangiopancreatography-laparoscopic cholecystectomy technique. This allows management of the choledocholithiasis during the same anesthetic episode as the cholecystectomy. By contrast, there are just two case reports in children reporting this approach. The aim of this study is to report our experience with this technique in a series of children with choledocholithiasis.
All patients who underwent the "rendez-vous technique" at our institution between 2009 and 2020 were reviewed and evaluated for outcomes and complications.
Eleven children with cholecysto-choledocholithiasis were evaluated: the procedure was successful in 10 whereas in one patient it was aborted due to technical difficulties. All patients resolved their clinical condition without major complications.
To our knowledge, this is the first consistent series of "rendez-vous technique" in the pediatric population, proving its feasibility and safety.
据报道，儿童胆石病的发病率正在增加。对于成年人群，已经描述了几种不同的治疗策略，但尚不清楚哪种策略应被视为金标准。成人中有循证医学文献支持联合“约会”内镜逆行胰胆管造影-腹腔镜胆囊切除术技术。这可以在与胆囊切除术相同的麻醉发作期间处理胆总管结石。相比之下，只有两份关于儿童的病例报告报道了这种方法。本研究的目的是报告我们在一系列患有胆总管结石的儿童中使用该技术的经验。
回顾了 2009 年至 2020 年期间在我们机构接受“约会技术”的所有患者，并对其结果和并发症进行了评估。
评估了 11 例胆囊-胆总管结石患者：10 例手术成功，1 例因技术困难而中止。所有患者均无重大并发症而解决了临床状况。
据我们所知，这是小儿人群中首次进行一致的“约会技术”系列研究，证明了其可行性和安全性。
