Research Article Laparoscopy-Assisted Percutaneous Cholangiography in Biliary Atresia Diagnosis: Comparison with Open Technique Murat Alkan, 1 Kamuran Tutus, 1 Ender FakJoglu, 1 Onder Ozden, 1 Zehra Hatipoglu, 2 Serdar Hilmi Iskit, 1 Recep Tuncer, 1 and Unal Zorludemir 1 1 Department of Pediatric Surgery, Cukurova University Faculty of Medicine, Adana, Turkey 2 Department of Anesthesiology, Cukurova University Faculty of Medicine, Adana, Turkey Correspondence should be addressed to Murat Alkan; drmuratalkan@gmail.com Received 15 January 2015; Accepted 28 July 2015 Academic Editor: Colin Knight Copyright © 2016 Murat Alkan et al. Tis is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Introduction. Biliary atresia is a surgical cause of prolonged jaundice, which needs to be diagnosed with cholangiography that has traditionally been performed via laparotomy. Laparoscopic assistance has lately been introduced to avoid unnecessary laparotomy. We aim to evaluate the benefts of the laparoscopy-assisted cholangiography and compare it to the traditional procedure via laparotomy. Patients and Method. Te medical records of the cases who had undergone cholangiography for prolonged jaundice between 2007 and 2014 were analyzed. Te patients were grouped according to cholangiography technique (laparotomy/laparoscopy). Te laparoscopy and laparotomy groups with patent bile ducts were focused and compared in terms of operation duration, postoperative initiation time of enteral feeding, and full enteral feeding achievement time. Results. Sixty- one infants with prolonged jaundice were evaluated between 2007 and 2014. Among the patients with patent bile ducts, operation duration, postoperative enteral feeding initiation time, and the time to achieve full enteral feeding were shorter in laparoscopy group. Conclusion. Laparoscopic cholangiography is safe and less time-consuming compared to laparotomy, with less postoperative burden. As early age of operation is a very important prognostic factor, laparoscopic evaluation should be an early option in work-up of the infants with prolonged jaundice with direct hyperbilirubinemia, for diagnosis/exclusion of biliary atresia. 1. Introduction Prolonged jaundice is defned as jaundice longer than 14 days in term infants and 21 days in preterm infants. Over this period, prolonged jaundice with conjugated hyperbilirubine- mia in a newborn with pale stool and dark urine alerts the pediatrician to investigate the cholestatic disorders such as infections due to congenital rubella, CMV, toxoplasmosis, and endocrine and metabolic disorders as hypothyroidism, alpha-1-antitrypsin defciency, and aminoaciduria. Afer all these investigations, ultrasonography, hepatic scintigraphy, and usually liver biopsy take place. In cases of no diag- nosis despite these investigations, surgical exploration is usually needed to exclude biliary atresia. Cholangiography via laparotomy or laparoscopy has remained as the gold standard for the diagnosis of biliary atresia. Invasiveness and high morbidity of explorative procedure generally make pediatricians refer the patient to the pediatric surgeon afer their investigations exclude all nonsurgical causes of jaundice. On the other hand, early identifcation of biliary atresia afects the success rate of the operation and improves the outcome [1]. Laparoscopy is a minimally invasive procedure that can exclude surgical causes of jaundice and may help avoid unnecessary laparotomy in neonates. Herein, we present our technique, laparoscopy-assisted percutaneous cholangiography with liver biopsy with a single umbilical trocar, and compared the results of this technique with traditional open surgical explorative cholangiography and liver biopsy. 2. Patients and Method We performed a retrospective chart review of all infants who were referred between December 2007 and December Hindawi Publishing Corporation Gastroenterology Research and Practice Volume 2016, Article ID 5637072, 5 pages http://dx.doi.org/10.1155/2016/5637072