Balloon Sphincteroplasty in Pediatric Laparoscopic Common Bile Duct Exploration
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Read the article on jpedsurg.org ↗Article · Dec 2020 · 1 min read
In brief
In brief
This article describes balloon sphincteroplasty as a single-stage laparoscopic technique for managing pediatric choledocholithiasis during cholecystectomy. The transcystic approach avoids the need for separate ERCP procedures, reducing anesthesia exposure and fluoroscopy while remaining within the pediatric surgeon's technical capabilities.
Written by the GCMD Library team from the article.
Abstract
The management of choledocholithiasis in children and teenagers is often a two-procedure process with laparoscopic cholecystectomy (LC) and either pre- or post-operative endoscopic retrograde cholangiopancreatography (ERCP). The addition of laparoscopic common bile duct exploration (LCBDE) during LC can provide definitive treatment for choledocholithiasis during a single anesthetic event. In an effort to minimize sedation and radiation exposure from fluoroscopy, we have employed dilating balloons via a transcystic approach to stretch the sphincter of Oddi with subsequent ductal flushing. We describe the technique of balloon sphincteroplasty as a straightforward adjunct within the pediatric surgeon's skill set to manage choledocholithiasis during LC and our clinical experience.