The evaluation of laparoscope in the diagnosis and treatment of obstructive jaundice in infants / 中国微创外科杂志

ABSTRACT

Objective To evaluate the value of laparoscope in the diagnosis and treatment of obstructive jaundice in infants. Methods 52 cases of obstructive jaundice were diagnosed and treated under laparoscope. Results 2 cases were converted to open operation because of a lot of ascitic fluid. The diagnosis of other 50 cases was confirmed under laparoscopic cholangiography, including biliary atresia in 33 cases, bile duct hypoplasia in 10 ones and cholestasis in 7 ones. Hepatic portal-intestinal anastomosis was operated on 43 patients. Liver biopsy was done in 38 cases. Biliary duct cannula and irrigation were performed in 9 cases. Conclusions Laparoscope is an accurate and reliable technique in the diagnosis and treatment of obstructive jaundice in infants and it can avoid open surgery for infants with cholestasis.