From
StayCurrentMD
Multi-Institutional Analysis of Choledocholithiasis in Pediatric vs Adult Patients
hosted by Dr. Alex Halpern
Chapter 1 of 1 · Evidence & Research
Surgery-First Approach for Pediatric Choledocholithiasis
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Educational content from recorded physician discussions — not medical advice. Talk to your (or your child's) care team about your situation.
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What the experts said
Dantes et al. performed a multi-center retrospective review of pediatric and adult patients treated for choledocholithiasis between 2018 and 2024
724 patients were included in the study
Surgery first approach with upfront laparoscopic cholecystectomy with intraoperative cholangiogram was performed in 201 pediatric patients and 169 adult patients
Laparoscopic common bile duct exploration was attempted in 84 children and 140 adults in the surgery first group
Common bile duct exploration success was higher in pediatric than adult patients
Complication rates were similar between pediatric and adult patients in the surgery first approach
A surgery first approach can be a safe and effective tool for managing choledocholithiasis in pediatric patients