Kaiser Permanente San Francisco, 2425 Geary Blvd, San Francisco, CA, 94115, USA.
Rhode Island Hospital Brown University, 80 Dudley St, Providence, RI, 02905, USA.
Clin J Gastroenterol. 2020 Oct;13(5):818-822. doi: 10.1007/s12328-020-01122-7. Epub 2020 Apr 8.
Spontaneous biliary perforation (SBP) in pediatrics is rare and historically has been treated with laparotomy for attempted repair and cholecystectomy. In recent years, management has evolved into a conservative approach, opting for cholecystostomy and peritoneal drainage over cholecystectomy. In this case, we report the first successful conservative management of SBP using an exclusively laparoscopic approach without cholecystectomy in a pediatric patient.
小儿自发性胆管穿孔（SBP）罕见，既往治疗方法为开腹探查、尝试修补和胆囊切除术。近年来，治疗方法已演变为保守治疗，即胆囊造口术和腹腔引流而非胆囊切除术。在此，我们报告首例小儿 SBP 成功采用完全腹腔镜而非胆囊切除术的保守治疗方法。
