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学科主题临床医学
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
2010-07-01
DOI10.1007/s00383-010-2598-1
26期:7页:711-715
收录类别SCI
文章类型Article
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
英文摘要

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.

语种英语
WOS记录号WOS:000278952800010
项目编号2006BAI05A06
资助机构National Science and Technology Infrastructure Program
引用统计
被引频次:3[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/61060
专题北京大学第一临床医学院_小儿外科
北京大学临床肿瘤学院_移植与免疫治疗病区
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
推荐引用方式
GB/T 7714
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.
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