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Spare the Needle, Discharge the Child: Trending Post-Op Labs After Laparoscopic Common Bile Duct Exploration in Pediatric Patients Is Not Helpful.
Patterson, James W; Niebler, Jacob A P; Cambronero, Gabriel E; Sanin, Gloria D; Bosley, Maggie E; Reid, Garrett; Ganapathy, Aravindh; Rauh, Jess; Ladd, Mitchell; Pranikoff, Tom; Sieren, Leah M; Petty, John K; Neff, Lucas P.
Afiliación
  • Patterson JW; Department of General Surgery, Atrium Health Wake Forest Baptist, Winston-Salem, NC, USA.
  • Niebler JAP; Department of General Surgery, Atrium Health Wake Forest Baptist, Winston-Salem, NC, USA.
  • Cambronero GE; Department of General Surgery, Atrium Health Wake Forest Baptist, Winston-Salem, NC, USA.
  • Sanin GD; Department of General Surgery, Atrium Health Wake Forest Baptist, Winston-Salem, NC, USA.
  • Bosley ME; Department of General Surgery, Atrium Health Wake Forest Baptist, Winston-Salem, NC, USA.
  • Reid G; Department of General Surgery, Atrium Health Wake Forest Baptist, Winston-Salem, NC, USA.
  • Ganapathy A; Department of General Surgery, Atrium Health Wake Forest Baptist, Winston-Salem, NC, USA.
  • Rauh J; Department of General Surgery, Atrium Health Wake Forest Baptist, Winston-Salem, NC, USA.
  • Ladd M; Department of General Surgery, Atrium Health Wake Forest Baptist, Winston-Salem, NC, USA.
  • Pranikoff T; Department of General Surgery, Atrium Health Wake Forest Baptist, Winston-Salem, NC, USA.
  • Sieren LM; Department of General Surgery, Atrium Health Wake Forest Baptist, Winston-Salem, NC, USA.
  • Petty JK; Department of General Surgery, Atrium Health Wake Forest Baptist, Winston-Salem, NC, USA.
  • Neff LP; Department of General Surgery, Atrium Health Wake Forest Baptist, Winston-Salem, NC, USA.
Am Surg ; 90(6): 1731-1733, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38215041
ABSTRACT
Laparoscopic common bile duct exploration (LCBDE) utility in management of choledocholithiasis may decrease length of stay and patient cost, but postoperative management remains widely debated. We examined periprocedural LFTs for patients undergoing LCBDE and endoscopic retrograde cholangiopancreatography (ERCP) speculating for trend existence after successful LCBDE. We hypothesized that postoperative LCBDE LFTs would not downtrend even after successful ductal clearance. We identified 99 patients under 18 who underwent ERCP or LCBDE with at least one pre- and post-procedural LFT. Periprocedural LFTs between groups were compared using Wilcoxon signed-rank tests. The 22 ERCP patients demonstrated a significant downtrend across Tbili (P < .001), AST (P = .001), ALT (P = .002), and ALP (P < .001). The 27 LCBDE patients demonstrated a significant downtrend in Tbili (P = .002) only, while AST (P > .05), ALT (P > .05), and ALP (P > .05) were nonsignificant. Lack of consistent downtrend in the LCBDE group raises doubt regarding the utility of postoperative LFTs for post-procedural management.
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Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Colangiopancreatografia Retrógrada Endoscópica / Laparoscopía / Conducto Colédoco / Coledocolitiasis Límite: Adolescent / Child / Child, preschool / Female / Humans / Male Idioma: En Revista: Am Surg Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Colangiopancreatografia Retrógrada Endoscópica / Laparoscopía / Conducto Colédoco / Coledocolitiasis Límite: Adolescent / Child / Child, preschool / Female / Humans / Male Idioma: En Revista: Am Surg Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos