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Author Affiliations: Department of Pediatric Surgery, Children's Hospital, Zhejiang University School of Medicine, 57 Zhugan Xiang, Hangzhou 310003, China (Gao ZG, Shao M, Xiong QX, Tou JF, Liu WG)
Corresponding Author: Wei-Guang Liu, Children's Hospital, Zhejiang University School of Medicine, 57 Zhugan Xiang, Hangzhou 310003, China (Tel: 86-571-87061007; Fax: +86-571-87033296; Email: ebwk@zju.edu.cn)
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¡À23.4 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 ¦Ã-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.
Key words: bile duct lavage; inspissated bile syndrome; laparoscopic cholecystostomy
World J Pediatr 2011;7(3):269-271
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