Abstract
Laparoscopic cholecystectomy (LC) was successfully performed in a 8-year-old girl (weight 29 kg) with severe acalcurous cholecystitis following burn. This report illustrates technical cinsiderations comparing with adult cases. 1) More attention should be payed in insertion of insufflation needle and trocars than in adults because of the elastic abdominal wall of children. 2) To obtain a good exposure of cystic artery and cystic duct, blunt dissection using gauze tampon (Tupfer's gauze) was very effective especially in such a case with adhesive cholecystitis. After LC the patient was able to resume normal diet and activity quickly as in adults. With a few technical modifications, we found that LC was safe and effective in chilren.
