Asian Journal of Endoscopic Surgery最新文献

{"title":"Utility of Laparoscopic Distal Pancreatectomy Following Esophagectomy With Gastric Roll Reconstruction Through the Retrosternal Route","authors":"Yusuke Yamamoto,&nbsp;Ryo Morimura,&nbsp;Taisuke Imamura,&nbsp;Hisashi Ikoma,&nbsp;Hitoshi Fujiwara,&nbsp;Atsushi Shiozaki,&nbsp;Hirotaka Konishi,&nbsp;Kenji Nanishi,&nbsp;Jun Kiuchi,&nbsp;Hiroki Shimizu,&nbsp;Tomohiro Arita,&nbsp;Yoshiaki Kuriu,&nbsp;Takeshi Kubota,&nbsp;Eigo Otsuji","doi":"10.1111/ases.70039","DOIUrl":"https://doi.org/10.1111/ases.70039","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Esophagectomy with gastric roll reconstruction through the retrosternal route can result in significant anatomical shifts in the pancreatic head and neck. These shifts must be carefully considered when planning distal pancreatectomy (DP) after esophagectomy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We analyzed 15 patients who underwent CT scans after discharge following esophagectomy with gastric roll reconstruction via the retrosternal route. Using CT images, we examined the anatomical features necessary to safely perform DP after esophagectomy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The horizontal distances from the vertebral body to the superior mesenteric vein (SMV), superior mesenteric artery (SMA), and gastroduodenal artery (GDA) post-esophagectomy were 12.0, 21.7, and − 4.0 mm, respectively, indicating significant leftward shifts compared with preoperative measurements (SMV: 2.7 mm, <i>p</i> = 0.023; SMA: 9.2 mm, <i>p</i> = 0.046; GDA: −17.5 mm, <i>p</i> &lt; 0.001). The angles between the horizontal line through the center of the SMA and the line connecting the SMA to the SMV (34.5°) and GDA (34.7°) were wider compared with the preoperative SMV (18.4°, <i>p</i> = 0.050) and GDA (17.9°, <i>p</i> = 0.018). Based on sagittal CT sections, the distance between the caudal edge of the gastric roll and the xiphoid process was 100.7 mm.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Video Presentation</h3>\u0000 \u0000 <p>We present a case of laparoscopic DP for pancreatic tail cancer after esophagectomy with gastric roll reconstruction via the retrosternal route.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The altered vascular positioning and the presence of the gastric roll make minimally invasive approaches, particularly laparoscopic DP, advantageous, as they reduce the risk of damaging the gastric roll and the right gastroepiploic artery (RGEA).</p>\u0000 </section>\u0000 </div>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143554482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Novel Port and Arm Placement Strategy for the Hugo Robotic-Assisted Surgery (RAS) System in Gynecologic Oncology: Initial Experience and Technical Considerations","authors":"Hiroaki Komatsu,&nbsp;Koji Yamamoto,&nbsp;Kohei Hikino,&nbsp;Masayo Okawa,&nbsp;Yuki Iida,&nbsp;Ikumi Wada,&nbsp;Mayumi Sawada,&nbsp;Shinya Sato,&nbsp;Fuminori Taniguchi","doi":"10.1111/ases.70045","DOIUrl":"https://doi.org/10.1111/ases.70045","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The Hugo robotic-assisted surgery (RAS) system is a novel surgical platform that expands the potential for minimally invasive procedures in gynecologic oncology. Early studies have shown promise, but the optimal configuration of ports and robotic arms requires further clarification. This study aimed to introduce a refined strategy for optimizing port placement and robotic arm arrangement with the Hugo RAS system and compare its performance to previously employed configurations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Surgical Technique</h3>\u0000 \u0000 <p>Initial experiences in two cases of early-stage endometrial cancer are presented. A new configuration was developed through iterative discussions and a review of emerging Hugo RAS literature. Port placement and arm arrangement with three arms on the patient's right side and one on the left—were designed to expand the assistant's working space. Two patients with stage IA endometrial cancer underwent surgery with this approach. Operative times, blood loss, and procedural details were evaluated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Both procedures were completed successfully with improved instrument articulation, reduced arm collisions, and enhanced workflow. Compared with previous strategies, this new configuration provided better ergonomics, minimized interference between robotic and assistant instruments, and expanded the operative field for both the first and second assistants, enabling smoother transvaginal specimen retrieval. Initial findings suggest that optimizing both port placement and arm settings enhances the surgical environment for the Hugo RAS system and may improve procedural efficiency and patient outcomes. Further studies with larger cohorts are warranted to validate these findings and potentially establish standardized guidelines.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143554481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to “Advantages of Robotic Total Mesorectal Excision With Partial Prostatectomy Compared With Open Surgery for Rectal Cancer: A Single-Center Retrospective Cohort Study”","authors":"","doi":"10.1111/ases.70042","DOIUrl":"https://doi.org/10.1111/ases.70042","url":null,"abstract":"<p>R. Shimano, S. Kasai, H. Kagawa, et al., “Advantages of Robotic Total Mesorectal Excision With Partial Prostatectomy Compared With Open Surgery for Rectal Cancer: A Single-Center Retrospective Cohort Study,” <i>Asian Journal of Endoscopic Surgery</i> 18, no. 1 (2025): e70003.</p><p>In Table 4, the number of patients written in the Recurrence site Lung area for Robotic surgery, “1(7.1),” and its <i>p</i> value, “0.056,” were incorrect. These should have changed to “2(14.2)” and “0.177” for each.</p><p>We apologize for this error.</p>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ases.70042","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143535802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dorsal Stable Surgical Procedure for the Glissonean Approach in Robot Anatomic Liver Resections of the Left Lateral Segment","authors":"Yusuke Uemoto,&nbsp;Takahisa Fujikawa","doi":"10.1111/ases.70038","DOIUrl":"https://doi.org/10.1111/ases.70038","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Laparoscopic left lateral sectionectomy (LLLS) is often performed as an introduction to laparoscopic liver resection (LLR). However, laparoscopic anatomical liver resection (LALR) of the left lateral segment is a challenging procedure. There are few reports on LALR of the left lateral segment. Robot liver resection (RLR) has the benefits of a stable blur-free visual field and mobility with multi-joint forceps, so robot anatomical liver resection (RALR) of the left lateral segment can be carried out safely.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>LLR and RLR were retrospectively investigated from January 2017 to August 2024. The procedure of RALR of the left lateral segment was demonstrated, and the safety of RALR of the left lateral segment was evaluated by comparing the perioperative outcomes to LLR.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>This study comprised 13 LLLS cases, 5 LALR cases, and 10 RALR cases. In LLR, it was more likely that LLLS was performed for the lesion of Segment 2 (11 cases) and LALR was performed for the lesion of Segment 3 (4 cases). LALR had a significantly longer operation time than LLLS. On the other hand, the difference in operation time between RALR and LLLS was not statistically significant. The amount of blood loss was not significantly different between LLLS and RALR. Other perioperative outcomes, such as length of stay or postoperative complications, did not show any differences.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>RALR of the left lateral segment is regarded as a safe approach in the treatment of liver tumors.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143497313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Case Series of Six Patients With Renal Cell Carcinoma With Inferior Vena Cava Tumor Thrombus Who Underwent Robotic-Assisted Radical Nephrectomy","authors":"Takuto Hara,&nbsp;Kotaro Suzuki,&nbsp;Hiromitsu Watanabe,&nbsp;Daisuke Motoyama,&nbsp;Atsushi Otsuka,&nbsp;Hideaki Miyake","doi":"10.1111/ases.70041","DOIUrl":"https://doi.org/10.1111/ases.70041","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Inferior vena cava (IVC) tumor thrombus occurs in 4%–10% of renal cell carcinoma (RCC) cases. Robotic-assisted radical nephrectomy (RARN) with IVC tumor thrombectomy offers a minimally invasive alternative to open surgery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>We retrospectively reviewed six cases of RARN for RCC with IVC thrombus at two institutions between April 2022 and August 2024. For left-sided RCC, the left renal vein was transected using a vascular stapler before IVC thrombectomy, ensuring adequate access for thrombus removal.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four patients had right-sided RCC, and two had left-sided RCC. The median operative time was 256 min, with a median blood loss of 175 mL. No conversions to open surgery, positive surgical margins, or major complications (Clavien-Dindo grade ≥ 3) were reported. No blood transfusions were required.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>RARN with IVC thrombectomy resulted in minimal blood loss and no serious complications. Our findings suggest that it is a feasible and safe procedure, even when performed with technical modifications for left-sided RCC.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143497314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"First Report of Robotic-Assisted Liver Resection With Pre-Coagulation Technique by Microwave (With Video)","authors":"Akihiko Takagi,&nbsp;Daisuke Yamamoto,&nbsp;Akitsugu Fujita,&nbsp;Satoshi Tokuda,&nbsp;Takeo Toda,&nbsp;Shinsuke Sato,&nbsp;Hideyuki Kanemoto","doi":"10.1111/ases.70040","DOIUrl":"https://doi.org/10.1111/ases.70040","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The high spatial cognition and freedom of forceps manipulation provided by robotic assistance enable three-dimensional liver resection. This is highly beneficial and innovative in laparoscopic hepatectomy. One of the remaining issues is bleeding control in cases of easily hemorrhagic cirrhotic liver. We reported a pre-coagulation technique by microwave. To our knowledge, this is the first report of robotic-assisted liver resection with a pre-coagulation technique by microwave.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Surgical Technique</h3>\u0000 \u0000 <p>The patient was a 71-year-old male with a history of alcoholic hepatitis and was diagnosed with a 2-cm HCC in segment 3. The preoperative indocyanine green retention test at 15 min (ICG-R15) was 18.9%; imaging studies showed findings suggestive of chronic hepatitis or cirrhosis. We decided to perform microwave pre-coagulation because of fears of difficulty in controlling bleeding. After taping the hepatoduodenal ligament, the location of the tumor was confirmed using ultrasound. The resection line with margin was marked on liver, and microwave pre-coagulation was performed, avoiding major Glisson branch and veins. The location of the pre-coagulated area and the tumor was determined by ultrasound. After pre-coagulation, the liver parenchyma was dissected under Pringle's maneuver by double bipolar technique. The operation time was 248 min; blood loss was 100 mL. The patient was discharged on the sixth postoperative day without intraoperative or postoperative complications.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Microwave pre-coagulation may be a useful approach to bleeding control in robotic hepatectomy. This technique would not necessarily be needed in all cases. However, it is important to have this knowledge to ensure safety in cases where hemostasis is expected to be difficult or when robotic hepatectomy is being introduced.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143481578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hybrid Laparoscopic and Open Repair of a Transdiaphragmatic Intercostal Hernia: A Case Report","authors":"Amirah Lofti Hanis,&nbsp;Sze Li Siow,&nbsp;Sidi Nurazim,&nbsp;Izzat Asyraf Kamaruzaman","doi":"10.1111/ases.70034","DOIUrl":"https://doi.org/10.1111/ases.70034","url":null,"abstract":"<div>\u0000 \u0000 <p>Transdiaphragmatic intercostal hernia is a rare condition that presents unique management challenges. We describe a 68-year-old morbidly obese male (BMI 40) with multiple comorbidities who underwent successful hybrid laparoscopic and open repair of a right transdiaphragmatic intercostal hernia. The hernia developed following blunt trauma 5 years earlier, which caused fractures of the right 4th–7th ribs. The patient presented with a swelling in the right flank region. CT imaging revealed a 5.9-cm diaphragmatic defect and a 10.6 × 11.9 cm intercostal defect containing small and large bowels, and omentum. Preoperative optimization included a very low-calorie diet and stabilization of diabetes, hypertension, and dyslipidemia. Surgery involved lateral decubitus positioning, customized laparoscopic port placement, an additional incision for defect closure, and laparoscopic onlay mesh placement. Recovery was uneventful, with discharge on postoperative Day 5 and no recurrence at 6 months. This case underscores the importance of meticulous preparation and hybrid techniques in managing complex hernias.</p>\u0000 </div>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143456129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Laparoscopic Sigmoidectomy in a Male Colon Cancer Patient With Pelvic Arteriovenous Malformation Using Preoperative Interventional Radiology: A Case Report","authors":"Gaku Inaguma,&nbsp;Koki Otsuka,&nbsp;Koji Masumori,&nbsp;Junichiro Hiro,&nbsp;Tsutomu Kumamoto,&nbsp;Megumu Kamishima,&nbsp;Yosuke Kobayashi,&nbsp;Yongchol Chong,&nbsp;Yusuke Omura,&nbsp;Hiroko Taniguchi,&nbsp;Kazuki Tsujimura,&nbsp;Yuko Chikaishi,&nbsp;Ayako Tsurumachi,&nbsp;Hokuto Akamatsu,&nbsp;Ichiro Uyama,&nbsp;Koichi Suda","doi":"10.1111/ases.70037","DOIUrl":"https://doi.org/10.1111/ases.70037","url":null,"abstract":"<p>Pelvic arteriovenous malformation (AVM) is a rare vascular condition with diverse clinical manifestations. Treatment-related decision-making is difficult for concurrent AVMs and colon cancer. Interventional radiology is effective for colon cancer patients with pelvic AVM. Herein, a 77-year-old man presented with fatigue. Computed tomography revealed thickening of the sigmoid colon wall without lymph node swelling or distant metastasis, confirming irregularly dilated pelvic blood vessels. Preoperative transcatheter embolization of the AVM was initially performed. Then, laparoscopic sigmoidectomy was performed without complications following confirmation of AVM shrinkage via computed tomography. The patient was discharged without complications. Thus, preoperative pelvic AVM embolization in patients with sigmoid colon cancer may facilitate safe minimally invasive surgery.</p>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ases.70037","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143456127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to “Preoperative Indocyanine Green Tattooing for Robotic-Assisted Surgery in Rectal Cancer”","authors":"","doi":"10.1111/ases.70035","DOIUrl":"https://doi.org/10.1111/ases.70035","url":null,"abstract":"<p>\u0000 Y. Morimoto, A. Kobayashi, N Yamazaki, et al., “Preoperative Indocyanine Green Tattooing for Robotic-Assisted Surgery in Rectal Cancer,” <i>Asian Journal of Endoscopic Surgery</i> 18 (2025): e70010.\u0000 </p><p>On page 2, the number of locations where the prepared solution was delivered has been amended to 1–4 locations, and figure legends for FIGURE 1 and FIGURE 2 have also been amended.</p><p>On page 3, the number of locations where local ICG injections were administered has been amended to 1–4 locations.</p><p>We apologize for these errors.</p>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ases.70035","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143456128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of Cholelithiasis in Children With Associated Diseases: Should Prophylactic Cholecystectomy Be Recommended?—A Retrospective Analysis","authors":"Alessandro Boscarelli,&nbsp;Manuela Giangreco,&nbsp;Daniela Codrich,&nbsp;Silvia Perin,&nbsp;Elena Madonia,&nbsp;Edoardo Guida,&nbsp;Jürgen Schleef","doi":"10.1111/ases.70036","DOIUrl":"https://doi.org/10.1111/ases.70036","url":null,"abstract":"<div>\u0000 \u0000 <p>Cholelithiasis is increasing in the pediatric population, and there are currently no guidelines for the management of asymptomatic patients with both cholelithiasis and a predisposing condition. This study seeks to highlight situations where prophylactic cholecystectomy may be desirable. We retrospectively reviewed the medical records of children who underwent elective laparoscopic cholecystectomy between October 2011 and September 2022. Thirty-two patients were included in the study. Five different groups of patients were identified based on associated pathologies. Twenty-six patients were symptomatic (81.25%), and six were asymptomatic (18.75%). All patients underwent a laparoscopic cholecystectomy. Hematologic and cystic fibrosis patients with asymptomatic cholelithiasis had a shorter length of hospital stay than patients with the same condition who progressed from asymptomatic to symptomatic gallstone disease. Consequently, patients with associated diseases (particularly hematologic diseases and cystic fibrosis) may benefit from early laparoscopic cholecystectomy, which could reduce the probability of surgical difficulties and shorten the length of hospital stay.</p>\u0000 </div>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143456130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}