Diagnostic Laparoscopy in Infantile Cholestatic Jaundice.
- Author:
Sang Young BANG
1
;
Jae Hee CHUNG
;
Sang Kuon LEE
;
Young Tack SONG
Author Information
1. Department of Surgery, Catholic University Medical College, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Infantile cholestatic jaundice;
Neonatal hepatitis;
Biliary atresia;
Laparoscopy
- MeSH:
Biliary Atresia;
Biliary Tract;
Biopsy;
Common Bile Duct;
Diagnosis;
Early Diagnosis;
Gallbladder;
Humans;
Infant;
Jaundice;
Jaundice, Obstructive*;
Laparoscopy*;
Laparotomy;
Liver;
Prognosis
- From:Journal of the Korean Association of Pediatric Surgeons
2002;8(2):156-160
- CountryRepublic of Korea
- Language:Korean
-
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.
