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学科主题: 临床医学
题名:
Laparoscopic cholecystocholangiography for diagnosis of prolonged jaundice in infants, experience of 144 cases
作者: 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
发表日期: 2010-07-01
DOI: 10.1007/s00383-010-2598-1
卷: 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
所属项目编号: 2006BAI05A06
项目资助者: National Science and Technology Infrastructure Program
WOS记录号: WOS:000278952800010
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/61060
Appears in Collections:北京大学第一临床医学院_小儿外科_期刊论文

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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

Recommended Citation:
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.
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