University Children's Hospital, Department of Pediatric Surgery and Pediatric Urology, Hoppe-Seyler-Strasse 1, D-72076 Tuebingen, Germany.
J Pediatr Surg. 2012 Dec;47(12):e47-50. doi: 10.1016/j.jpedsurg.2012.09.043.
We describe a 99-day old girl with inspissated bile syndrome (IBS) unresponsive to treatment with oral ursodeoxycholic acid. We performed a pure laparoscopic 2-stage procedure, consisting of cholecystostomy and insertion of an indwelling balloon catheter for local ursodeoxycholic acid flushing for 13 consecutive days. Subsequently, the cholecystostomy was removed, preserving the gallbladder using the same laparoscopical approach when bilirubin values returned to normal and bile duct obstruction was no longer detectable radiologically. This is the first report of an exclusively laparoscopic management of IBS.
我们描述了一例 99 天大的患有浓稠胆汁综合征（IBS）的女婴，她对口服熊去氧胆酸治疗没有反应。我们采用纯腹腔镜两阶段手术，包括胆囊造口术和留置的胆道内球囊导管，用于局部熊去氧胆酸冲洗 13 天。随后，当胆红素值恢复正常且胆管阻塞在影像学上不再检测到时，通过相同的腹腔镜方法取出胆囊造口术，保留胆囊。这是首例报告采用纯腹腔镜治疗 IBS 的病例。
