Laparoscopic cholecystectomy in children with sickle cell disease
Hatley, R.M.; Crist, D.; Howell, C.G.; Herline, A.J.; Gadacz, T.R.
American Surgeon 61(2): 169-171
1995
ISSN/ISBN: 0003-1348 PMID: 7856980 Document Number: 447273
Since 1991, laparoscopic cholecystectomy has been utilized in children with sickle cell disease, predominantly because of the decreased pain and shorter hospitalization. We believe that outpatient laparoscopic cholecystectomy or even a 24 hour hospitalization is not indicated in the patient with sickle cell disease. Perioperative complications include bleeding diathesis, vaso-occlusive phenomena, and delayed hemolytic transfusion reactions, although clotting parameters can be normal.