Who's speaking
- Alex Halpern — host
Chapters
- 0:00Surgery-First Approach for Pediatric Choledocholithiasis — Alex Halpern presents findings from a multi-center retrospective study comparing surgery-first management of choledocholithiasis in pediatric versus adult patients, highlighting higher success rates and similar complication profiles in children.
Key claims
- 0:11Dantes et al. performed a multi-center retrospective review of pediatric and adult patients treated for choledocholithiasis between 2018 and 2024 — Alex Halpern
- 0:22724 patients were included in the study — Alex Halpern
- 0:25Surgery first approach with upfront laparoscopic cholecystectomy with intraoperative cholangiogram was performed in 201 pediatric patients and 169 adult patients — Alex Halpern
- 0:35Laparoscopic common bile duct exploration was attempted in 84 children and 140 adults in the surgery first group — Alex Halpern
- 0:43Common bile duct exploration success was higher in pediatric than adult patients — Alex Halpern
- 0:43Complication rates were similar between pediatric and adult patients in the surgery first approach — Alex Halpern
- 0:49A surgery first approach can be a safe and effective tool for managing choledocholithiasis in pediatric patients — Alex Halpern
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