Related Experiment Video
Updated: Dec 24, 2025

Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision
Published on: May 2, 2025
Total laparoscopic management of spontaneous biliary perforation
Lawrence Jun Leung1, Marc James Henry Vecchio2, Ajay Rana3
1Kaiser Permanente San Francisco, 2425 Geary Blvd, San Francisco, CA, 94115, USA. lawrence.j.leung@kp.org.
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.

