Available online 29 June 2025, 151497

The incidence of pediatric gallstone disease has increased significantly in recent years. Laparoscopic cholecystectomy is the standard of care for symptomatic and complicated gallstone disease. In cases of choledocholithiasis, ductal clearance can be achieved with either endoscopic retrograde cholangiopancreatography (ERCP) or laparoscopic common bile duct exploration (LCBDE). Here we review the complications associated with each treatment modality. A clear understanding of procedure-specific risks in children is needed to inform evidence-based treatment pathways and optimize outcomes.

Laparoscopic Cholecystectomy

Endoscopic Retrograde Cholangiopancreatography

Intraoperative Cholangiogram

Laparoscopic Common Bile Duct Exploration

Complications

© 2025 The Authors. Published by Elsevier Inc.