›› 2019, Vol. 4 ›› Issue (8): 9-11.

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Diagnosis and Treatment of Extrahepatic Biliary Cystic Lesions in Neonates

Li Yadong1,2   

  1. (1. Department of General Surgery, Kunming Children's Hospital, Kunming 650228, China; 2. Department of Neonatal Surgery,
    Kunming Children's Hospital, Kunming 650228, China)
  • Received:2019-02-21 Revised:2019-05-22 Online:2019-08-15 Published:2019-08-15

Abstract:

Objective: To analyze the diagnosis and treatment of extrahepatic biliary cystic lesions in neonates. Methods: A total of
10 neonatal patients with extrahepatic biliary cystic lesions were studied from August 2016 to May 2018. Intraoperative biliary
angiography, laparoscopy, CT, B-ultrasound, liver function and clinical manifestations were observed and analyzed. Results: There was
no statistically significant difference in liver function between the two groups(P >0.05). The gallbladder width, gallbladder length, cyst
width and cyst length of the patients with choledochocyst were all larger than the patients with biliary atresia, and the differences were
statistically significant(P<0.01). Conclusion: A variety of biliary malformations in neonates can cause the appearance of extrahepatic
biliary cystic lesions. Intraoperative laparoscopy and B-ultrasound examination can be used for the differential diagnosis of extrahepatic
biliary cystic lesions in neonates, providing a basis for the treatment of the disease.

Key words: neonates, extrahepatic biliary cystic lesions, diagnosis, treatment

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