|Laparoscopic cholecystocholangiography for diagnosis of prolonged jaundice in infants, experience of 144 cases|
|Huang, Liuming2; Wang, Wei2; Liu, Gang2; Jia, Jun3; Wang, Shuqin3; Liu, Baofu3; Zhang, Jun1; Liu, Shuli1; Hou, Wenying1; Li, Long1|
|关键词||Cholangiography Biliary atresia Jaundice Laparoscopy|
|刊名||PEDIATRIC SURGERY INTERNATIONAL|
|WOS标题词||Science & Technology|
|类目[WOS]||Pediatrics ; Surgery|
|研究领域[WOS]||Pediatrics ; Surgery|
|关键词[WOS]||TRIANGULAR CORD SIGN ; BILIARY ATRESIA ; CHOLESTASIS|
Cholangiography is often crucial for establishing the definitive diagnosis in infants with prolonged jaundice. Here, we describe our protocol of using the two-hole laparoscopic technique and discuss its benefits.
144 consecutive patients with suspected biliary atresia were included in this retrospective study. A 5-mm umbilical port is introduced for a 30A degrees laparoscope. An additional 5-mm trocar was inserted at right subcostal incision. A liver biopsy was performed first if needed. The fundus of gallbladder was then exteriorized through the incision of the working port after pneumoperitoneum was released and a catheter is inserted into the gallbladder for cholangiography.
The average duration of operation was 34 min (range 20-55 min). Laparoscopic cholangiography failed in 21 cases (14.6%) where atrophic gallbladder was found and BA was confirmed by subsequent laparotomy. For the remaining 123 cases, biliary atresia were diagnosed in 88 (71.5%), biliary hypoplasia in 14 (11.4%), and cholestasis in 21 (17.1%), respectively. There was no bleeding or any other complications intraoperatively.
The technique of laparoscopic cholecystocholangiography is simple, safe and efficient. It can provide an accurate diagnosis. Furthermore, for patients without biliary atresia, unnecessary laparotomy can be avoided.
|资助机构||National Science and Technology Infrastructure Program|
|作者单位||1.Capital Inst Pediat, Dept Pediat Surg, Beijing 100020, Peoples R China|
2.Beijing Mil Reg Gen Hosp, BaYi Childrens Hosp, Dept Pediat Surg, Beijing 100700, Peoples R China
3.Peking Univ, Dept Pediat Surg, Hosp 1, Beijing 100034, Peoples R China
|Huang, Liuming,Wang, Wei,Liu, Gang,et al. Laparoscopic cholecystocholangiography for diagnosis of prolonged jaundice in infants, experience of 144 cases[J]. PEDIATRIC SURGERY INTERNATIONAL,2010,26(7):711-715.|
|APA||Huang, Liuming.,Wang, Wei.,Liu, Gang.,Jia, Jun.,Wang, Shuqin.,...&Li, Long.(2010).Laparoscopic cholecystocholangiography for diagnosis of prolonged jaundice in infants, experience of 144 cases.PEDIATRIC SURGERY INTERNATIONAL,26(7),711-715.|
|MLA||Huang, Liuming,et al."Laparoscopic cholecystocholangiography for diagnosis of prolonged jaundice in infants, experience of 144 cases".PEDIATRIC SURGERY INTERNATIONAL 26.7(2010):711-715.|