Gunnarsdóttir Anna, Holmqvist Peter, Arnbjörnsson Einar, Kullendorff Carl-Magnus
Department of Pediatric Surgery, Lund University Hospital, 221 85 Lund, Sweden.
J Pediatr Surg. 2008 Apr;43(4):e33-5. doi: 10.1016/j.jpedsurg.2007.12.068.
We report a case of a newborn girl with inspissated bile syndrome (IBS) that did not respond to treatment with oral ursodeoxycholic acid (Ursofalk). A solution was found using laparoscopic aided cholecystostomy with an indwelling catheter for local Ursofalk flushing in the gallbladder and the choledochus. This is the first report of a laparoscopic aided management of IBS without cholecystectomy or exploration of the bile ducts. This minimal invasive approach showed a clear advantage for the patient. There were no complications. The method is recommended in the treatment of IBS.
我们报告了一例患有浓缩胆汁综合征（IBS）的新生女婴，口服熊去氧胆酸（优思弗）治疗无效。通过腹腔镜辅助胆囊造瘘术并留置导管对胆囊和胆总管进行局部优思弗冲洗，找到了解决方案。这是首例关于在不进行胆囊切除术或胆管探查的情况下，采用腹腔镜辅助治疗IBS的报告。这种微创方法对患者显示出明显优势。无并发症发生。该方法推荐用于IBS的治疗。
