BACKGROUND: We aim to describe our experience of laparoscopic cholecystostomy and bile duct lavage in the treatment of inspissated bile syndrome. METHODS: Between January 2005 and December 2009, 16 infants with inspissated bile syndrome underwent laparoscopic cholecystostomy and bile duct lavage in our department. They were 7 males and 9 females, aged 40 days to 3 months, with an average of 65±23.4 days. A laparoscopic aided cholecystostomy was done. Cholangiography and bile duct lavage were performed during the operation. One week after the operation, bile duct lavage with saline was repeated every 2 to 3 days. According to bilirubin levels and liver function, the tube was kept for 2-4 weeks. RESULTS: The level of bilirubin decreased and liver function was greatly improved after bile duct lavage. Direct bilirubin level, aspartate aminotransferase and γ-GT were significantly decreased 1-2 months after the operation compared with those before surgery (P<0.05). CONCLUSIONS: The treatment strategy for inspissated bile syndrome with laparoscopic cholecystostomy and biliary duct lavage is feasible and effective.
BACKGROUND: We aim to describe our experience of laparoscopic cholecystostomy and bile duct lavage in the treatment of inspissated bile syndrome. METHODS: Between January 2005 and December 2009, 16 infants with inspissated bile syndrome underwent laparoscopic cholecystostomy and bile duct lavage in our department. They were 7 males and 9 females, aged 40 days to 3 months, with an average of 65±23.4 days. A laparoscopic aided cholecystostomy was done. Cholangiography and bile duct lavage were performed during the operation. One week after the operation, bile duct lavage with saline was repeated every 2 to 3 days. According to bilirubin levels and liver function, the tube was kept for 2-4 weeks. RESULTS: The level of bilirubin decreased and liver function was greatly improved after bile duct lavage. Direct bilirubin level, aspartate aminotransferase and γ-GT were significantly decreased 1-2 months after the operation compared with those before surgery (P<0.05). CONCLUSIONS: The treatment strategy for inspissated bile syndrome with laparoscopic cholecystostomy and biliary duct lavage is feasible and effective.
Authors: Y Iinuma; R Narisawa; M Iwafuchi; M Uchiyama; M Naito; M Yagi; S Kanada; M Otaki; S Yamazaki; T Honma; H Motoyama; Y Baba Journal: J Pediatr Surg Date: 2000-04 Impact factor: 2.545
Authors: Karen I Norton; Ronald B Glass; Debora Kogan; Jacob S Lee; Sukru Emre; Benjamin L Shneider Journal: Radiology Date: 2002-03 Impact factor: 11.105
Authors: L Guibaud; A Lachaud; R Touraine; A L Guibal; M Pelizzari; T Basset; J P Pracros Journal: AJR Am J Roentgenol Date: 1998-01 Impact factor: 3.959
Authors: Paul W Wales; Mary Brindle; Carolien J E Sauer; Seema Patel; Nicole de Silva; Peter Chait Journal: J Pediatr Surg Date: 2007-11 Impact factor: 2.545