title: One-stage laparoscopic surgery for inspissated bile syndrome: case report and review of surgical techniques.
abstract: Inspissated bile syndrome in a 6 week old boy was unresponsive to oral ursodesoxycholic acid. Intraoperative cholangiography revealed complete obstruction of the common bile duct. Therefore, the gallbladder fundus was pulled out through a laparoscopy port site and sutured to the fascia. A catheter was positioned into the infundibulum for irrigation with ursodesoxycholic acid. At day 8 complete resolution of the plug and free passage of contrast medium into the duodenum was documented radiologically. The catheter was removed, skin closed spontaneously without a second surgery for closure of the gall bladder.
authors.affiliation: Department of Pediatric Surgery, Inselspital University Hospital, University of Berne, Berne, 3010 Switzerland.
authors.forename: Steffen
authors.initials: S
authors.lastname: Berger
authors.affiliation: Division of Pediatric Gastroenterology, Department of Pediatrics, Inselspital University Hospital, University of Berne, Berne, 3010 Switzerland.
authors.forename: Susanne
authors.initials: S
authors.lastname: Schibli
authors.affiliation: Division of Pediatric Radiology, Department of Radiology, Inselspital University Hospital, University of Berne, Berne, 3010 Switzerland.
authors.forename: Enno
authors.initials: E
authors.lastname: Stranzinger
authors.affiliation: Department of Pediatric Surgery, Inselspital University Hospital, University of Berne, Berne, 3010 Switzerland.
authors.forename: Dietmar
authors.initials: D
authors.lastname: Cholewa