Abstract
We report a case of laparoscopic surgery through the same trocar sites first in the upper, then in the lower, abdomen in a 10-year-old girl who presented with intermittent severe attacks of abdominal pain in the right upper quadrant. Ultrasonography revealed a gallstone, 7 mm in diameter. As there was no metabolic risk identified for recurrence of gallstones, the stone was removed by cholecystotomy. During surgery, two wide open inner inguinal rings were found, which were closed by laparoscopic herniorrhaphy in the same session. The techniques are described, and a review of the literature is given. We conclude that minimally invasive surgery allows procedures in topographically distant areas of body cavities. For symptomatic gallstones, cholecystotomy by a laparoscopic approach using 5- and 2-mm instruments could be a safe and efficient procedure in carefully selected children. It may be an option in otherwise healthy children.
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