Diagnostic Laparoscopy in Infantile Cholestatic Jaundice
Journal of the Korean Association of Pediatric Surgeons
; : 156-160, 2002.
Article
em Ko
| WPRIM
| ID: wpr-7325
Biblioteca responsável:
WPRO
ABSTRACT
When jaundice persists for more than 14 days postnatally, the early diagnosis of surgical jaundice is important for the prognosis in extrahepatic biliary atresia after draining procedure. The role of diagnostic laparoscopy to differenctiate medical causes of jaundice from biliary atresia is evaluated in this report. Four patients with prolonged jaundice have been included in this study. When the gallbladder was not visualized we proceeded to laparotomy. In patients with enlarged gallbladder visualized at laparoscopy, laparoscopic guided cholangiogram was performed, and laparoscopic liver biopsy was done for those who had a patent biliary tree. Two patients had small atretic gallbladder and underwent a Kasai hepato-portoenterostomy. One patients showed a patent gallbladder and common bile duct with atresia of the common hepatic and intrahepatic ducts, and they underwent a Kasai hepatic-portoenterostomy. One patient showed an enlarged gallbladder and laparoscopic-guided cholangiogram were normal. Laparoscopic liver biopsy was performed. There were no complications. Laparoscopy wth laparoscopic-guided cholangiogram may be a valuable method in accurate and earlier diagnosis in an infant with prolonged jaundice.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Prognóstico
/
Sistema Biliar
/
Biópsia
/
Atresia Biliar
/
Laparoscopia
/
Ducto Colédoco
/
Icterícia Obstrutiva
/
Diagnóstico Precoce
/
Diagnóstico
/
Vesícula Biliar
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
/
Screening_studies
Limite:
Humans
/
Infant
Idioma:
Ko
Revista:
Journal of the Korean Association of Pediatric Surgeons
Ano de publicação:
2002
Tipo de documento:
Article