2025 Pediatric Surgery Update Course - Updates in Lap Chole and Cholecystitis Management
▶Ep 5 · 4:35
quoteSo the question here is why are we still delaying it?↗
▶Ep 5 · 8:35
quoteSo there's clearly two different paths from adult surgery and pediatric surgery in terms of antibiotic prophylaxis.↗
▶Ep 5 · 9:05
quoteSo this isn't just a marginal benefit. It's a powerful data that justifies the widespread use of prophylaxis in pediatric psychosis.↗
▶Ep 5 · 12:25
quoteSo this improves that the same day this charge is not only feasible, but also safe for the uncomplicated pediatric patients.↗
▶Ep 5 · 12:40
quoteSo I have the feeling that we're doing ERS and same-day discharge for much more complex conditions. But then you look at the data, and it's not very common, at least in the world, to do a same-day discharge for laparoscopic calisist.↗
▶Ep 5 · 17:10
guidelineIndex admission cholecystectomy should be the standard for acute cholecystitis after 2025↗
▶Ep 5 · 17:20
guidelineAntibiotic prophylaxis reduces surgical site infection risk while keeping narrow spectrum treatment as the best choice↗
▶Ep 5 · 17:30
guidelineERAS principles apply for pediatric laparoscopic cholecystectomy in uncomplicated cases↗
▶Ep 5 · 17:38
clinicalEarly discharge after pediatric cholecystectomy is safe and feasible↗
Rodrigo's statements about Cholelithiasis9 statements
2025 Pediatric Surgery Update Course - Updates in Lap Chole and Cholecystitis Management
▶Ep 6 · 4:35
quoteSo the question here is why are we still delaying it?↗
▶Ep 6 · 8:35
quoteSo there's clearly two different paths from adult surgery and pediatric surgery in terms of antibiotic prophylaxis.↗
▶Ep 6 · 9:05
quoteSo this isn't just a marginal benefit. It's a powerful data that justifies the widespread use of prophylaxis in pediatric psychosis.↗
▶Ep 6 · 12:25
quoteSo this improves that the same day this charge is not only feasible, but also safe for the uncomplicated pediatric patients.↗
▶Ep 6 · 12:40
quoteSo I have the feeling that we're doing ERS and same-day discharge for much more complex conditions. But then you look at the data, and it's not very common, at least in the world, to do a same-day discharge for laparoscopic calisist.↗
▶Ep 6 · 17:10
guidelineIndex admission cholecystectomy should be the standard for acute cholecystitis after 2025↗
▶Ep 6 · 17:20
guidelineAntibiotic prophylaxis reduces surgical site infection risk while keeping narrow spectrum treatment as the best choice↗
▶Ep 6 · 17:30
guidelineERAS principles apply for pediatric laparoscopic cholecystectomy in uncomplicated cases↗
▶Ep 6 · 17:38
clinicalEarly discharge after pediatric cholecystectomy is safe and feasible↗
Summaries Rodrigo gave as host
· 28 summaries
Recaps of other experts' statements, not Rodrigo's own clinical position.
Summaries Rodrigo gave as host · Acute Cholecystitis14 summaries
2025 Pediatric Surgery Update Course - Updates in Lap Chole and Cholecystitis Management
▶Ep 5 · 3:55
host summaryRodrigo Casaz summarizing the discussion: Index cholecystectomy performed during initial admission reduces readmission rate from 22% to 2-3% according to a 2024 Surgical Endoscopy paper↗
▶Ep 5 · 4:20
host summaryRodrigo Casaz summarizing the discussion: Index admission cholecystectomy significantly shortens length of stay from 22 days to 6 days↗
▶Ep 5 · 7:55
host summaryRodrigo Casaz summarizing the discussion: Adult Infectious Disease Society guidelines recommend against antibiotic prophylaxis for cholecystectomy citing concerns about antimicrobial resistance, according to a 2025 JAMA article↗
▶Ep 5 · 8:20
host summaryRodrigo Casaz summarizing the discussion: A two-center study of over 2000 children found more than 90% received antibiotic prophylaxis for cholecystectomy↗
▶Ep 5 · 8:45
host summaryRodrigo Casaz summarizing the discussion: Prophylaxis antibiotics were associated with a 72% reduction in the odds of surgical site infection in pediatric cholecystectomy↗
▶Ep 5 · 9:00
host summaryRodrigo Casaz summarizing the discussion: The number needed to treat with prophylaxis to prevent a single surgical site infection was calculated around 35↗
▶Ep 5 · 9:15
host summaryRodrigo Casaz summarizing the discussion: There is no additional benefit from using extended spectrum compared with narrow spectrum antibiotics like cefazolin for cholecystectomy prophylaxis↗
▶Ep 5 · 11:30
host summaryRodrigo Casaz summarizing the discussion: A French hospital successfully implemented ERAS protocol for pediatric laparoscopic cholecystectomy in 90% of patients over a five-year period↗
▶Ep 5 · 11:50
host summaryRodrigo Casaz summarizing the discussion: There were no postoperative complications or readmissions during 30-day observation in the French ERAS cohort↗
▶Ep 5 · 12:05
host summaryRodrigo Casaz summarizing the discussion: At medium-long term follow-up to 55 months, there were no health issues associated with same-day discharge after pediatric cholecystectomy↗
▶Ep 5 · 15:20
host summaryRodrigo Casaz summarizing the discussion: A 2024 systematic review from Pediatric Surgery International reviewed over 19,000 pediatric laparoscopic cholecystectomies↗
▶Ep 5 · 15:40
host summaryRodrigo Casaz summarizing the discussion: For simple cholecystitis, higher operative volume is the key determinant for favorable outcomes, with high volume more common in adult surgeons↗
▶Ep 5 · 16:05
host summaryRodrigo Casaz summarizing the discussion: High volume surgeons showed statistically significant reduction in postoperative complications and 30-day readmission rates↗
▶Ep 5 · 16:30
host summaryRodrigo Casaz summarizing the discussion: The systematic review recommends pediatric surgeon participation for more complex children with special needs such as hemolytic disorders↗
Summaries Rodrigo gave as host · Cholelithiasis14 summaries
2025 Pediatric Surgery Update Course - Updates in Lap Chole and Cholecystitis Management
▶Ep 6 · 3:55
host summaryRodrigo Casaz summarizing the discussion: Index cholecystectomy performed during initial admission reduces readmission rate from 22% to 2-3% according to a 2024 Surgical Endoscopy paper↗
▶Ep 6 · 4:20
host summaryRodrigo Casaz summarizing the discussion: Index admission cholecystectomy significantly shortens length of stay from 22 days to 6 days↗
▶Ep 6 · 7:55
host summaryRodrigo Casaz summarizing the discussion: Adult Infectious Disease Society guidelines recommend against antibiotic prophylaxis for cholecystectomy citing concerns about antimicrobial resistance, according to a 2025 JAMA article↗
▶Ep 6 · 8:20
host summaryRodrigo Casaz summarizing the discussion: A two-center study of over 2000 children found more than 90% received antibiotic prophylaxis for cholecystectomy↗
▶Ep 6 · 8:45
host summaryRodrigo Casaz summarizing the discussion: Prophylaxis antibiotics were associated with a 72% reduction in the odds of surgical site infection in pediatric cholecystectomy↗
▶Ep 6 · 9:00
host summaryRodrigo Casaz summarizing the discussion: The number needed to treat with prophylaxis to prevent a single surgical site infection was calculated around 35↗
▶Ep 6 · 9:15
host summaryRodrigo Casaz summarizing the discussion: There is no additional benefit from using extended spectrum compared with narrow spectrum antibiotics like cefazolin for cholecystectomy prophylaxis↗
▶Ep 6 · 11:30
host summaryRodrigo Casaz summarizing the discussion: A French hospital successfully implemented ERAS protocol for pediatric laparoscopic cholecystectomy in 90% of patients over a five-year period↗
▶Ep 6 · 11:50
host summaryRodrigo Casaz summarizing the discussion: There were no postoperative complications or readmissions during 30-day observation in the French ERAS cohort↗
▶Ep 6 · 12:05
host summaryRodrigo Casaz summarizing the discussion: At medium-long term follow-up to 55 months, there were no health issues associated with same-day discharge after pediatric cholecystectomy↗
▶Ep 6 · 15:20
host summaryRodrigo Casaz summarizing the discussion: A 2024 systematic review from Pediatric Surgery International reviewed over 19,000 pediatric laparoscopic cholecystectomies↗
▶Ep 6 · 15:40
host summaryRodrigo Casaz summarizing the discussion: For simple cholecystitis, higher operative volume is the key determinant for favorable outcomes, with high volume more common in adult surgeons↗
▶Ep 6 · 16:05
host summaryRodrigo Casaz summarizing the discussion: High volume surgeons showed statistically significant reduction in postoperative complications and 30-day readmission rates↗
▶Ep 6 · 16:30
host summaryRodrigo Casaz summarizing the discussion: The systematic review recommends pediatric surgeon participation for more complex children with special needs such as hemolytic disorders↗