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Total laparoscopic management of spontaneous biliary perforation

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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,… Click to show full abstract

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.

Keywords: biliary perforation; laparoscopic management; management; spontaneous biliary; total laparoscopic

Journal Title: Clinical Journal of Gastroenterology
Year Published: 2020

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