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Pediatr Surg Int ; 29(9): 953-5, 2013 Sep.
Article in English | MEDLINE | ID: mdl-23857561

ABSTRACT

Neonatal cholestatic disorder in the late neonatal period requires often cholangiography to differentiate between biliary atresia and other causes of prolonged neonatal jaundice. A simplified method of a laparoscopic-assisted cholecysto-cholangiography is presented. Retrospective chart review was conducted of all patients who from May 2002 to April 2012 underwent a laparoscopic-assisted cholecysto-cholangiography with routine fixation of the fundus of the gallbladder to the lateral aspect of the abdominal wall. A total of 18 infants (8 boys) aged 41-104 (median 64) days underwent laparoscopic-assisted cholecysto-cholangiography for prolonged jaundice. The technique identified ten cases of a patent bile duct system and eight biliary atresias. (Thirty-two cases of suspected biliary atresia were confirmed by laparoscopy alone.) Two cases required suturing of a bile leak at the puncture site. Hitching the gallbladder to the lateral abdominal wall is a simple method allowing an optimal radiographic assessment of the extra- and intra-hepatic bile duct anatomy.


Subject(s)
Cholangiography/methods , Gallbladder/surgery , Laparoscopy/methods , Bile Ducts/abnormalities , Biliary Atresia/complications , Biliary Atresia/diagnostic imaging , Contrast Media , Female , Humans , Infant , Jaundice, Neonatal/etiology , Male , Radiographic Image Enhancement/methods , Retrospective Studies , Triiodobenzoic Acids
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