Thirty-six pediatric and adult patients with sickle cell disease (SCD)
, cholelithiasis, and repeated abdominal crises underwent laparoscopic
cholecystectomy (LC) and appendectomy with minimal complications. We
prefer using LC to the open method for patients with SCD, and we propo
se adjustments to the positions of the four trocars to facilitate both
procedures without adversely affecting the patient.