Objective: Cholelithiasis once was considered as an uncommon problem i
n children. This 10-year retrospective review demonstrates that curren
tly average gallstones are being diagnosed more frequently and highlig
hten its various methods of management. Methods: A total of 24 pediatr
ic patients were managed for cholelithiasis. Twenty patients underwent
elective cholecystectomy for symptomatic gallstones. (14 laparoscopic
and 6 open). All records were reviewed for clinical and demographic d
ata. Results: The mean age of patients was (8.49 years) male to female
ration was 9:15. There was no major morbidity or mortality. Ten child
ren were sicklers. The average follow-up duration was 10.9 months. Con
clusion: It appears that the diagnosis of cholelithiasis in children b
ecomes more frequently and the new laparoscopic cholecystetomy is a fe
asible and safe approach.