鉴别新生儿黄疸的胆汁瘀积发生于肝内还是肝外是临床上的一个难题。由于Kasai氏手术方案的成功率与年龄成反比,若在出生后两个月内实施最容易成功。因而婴儿肝外胆道闭锁的早期诊断甚为重要。而各种原因所致的新生儿肝内胆汁瘀积,如新生儿肝炎则不应做剖腹术。诊断肝外胆道闭锁依靠实验室检查和临床观察有困难,而且不精确,而采用腹腔镜,经皮肝穿胆管造 Identification of neonatal jaundice in cholestasis occurred in the liver or extrahepatic is a clinical problem. As the success rate of Kasai ’s surgical regimen is inversely proportional to age, it is most likely to be implemented successfully within two months of birth. Therefore, the early diagnosis of infant extrahepatic biliary atresia is very important. The various causes of neonatal intrahepatic cholestasis, such as neonatal hepatitis should not do laparotomy. Diagnosis of extrahepatic biliary atresia rely on laboratory tests and clinical observation of the difficulties, but not accurate, and the use of laparoscopic percutaneous transhepatic bile duct