One-Stage versus Two-Stage ERCP followed by laparoscopic cholecystectomy for the Management of Pediatric Choledocholithiasis: A Systematic Review and Meta-Analysis
Author / Expert
Giovanna Macanhã Scremin, Wellgner Fernandes Oliveira Amador, Pandora Eloa Oliveira Fonseca, Laura Helena Fuenmayor Mena, Anelise Poluboiarinov Cappellaro, Ashwin Pimpalwar
Topic overview
The optimal approach to managing pediatric choledocholithiasis remains a subject of ongoing debate. Both single-stage strategies, combining laparoscopic cholecystectomy (LC) with bile duct clearance via intraoperative ERCP and sphincterotomy, and two-stage approaches, typically involving preoperative ERCP followed by interval LC, are widely employed. While prior meta-analyses in predominantly adult populations suggest comparable safety profiles between these strategies, pediatric-specific data remain lacking in consensus.
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