Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2014 Jun;30(6):605-8.
doi: 10.1007/s00383-014-3499-5. Epub 2014 Apr 11.

From laparoscopic to open Kasai portoenterostomy: the outcome after reintroduction of open Kasai portoenterostomy in infant with biliary atresia

Kin Wai E Chan  1 , Kim Hung Lee, Hei Yi V Wong, Siu Yan B Tsui, Yuen Shan Wong, Kit Yi K Pang, Jennifer Wai Cheung Mou, Yuk Him Tam
Affiliations

From laparoscopic to open Kasai portoenterostomy: the outcome after reintroduction of open Kasai portoenterostomy in infant with biliary atresia

Kin Wai E Chan et al. Pediatr Surg Int. 2014 Jun.

Abstract

Purpose: Apparently superior result was observed after open Kasai portoenterostomy in infant with biliary atresia. Our institute stopped performing laparoscopic portoenterostomy since 2007. We aimed to investigate the outcome after reintroduction of open portoenterostomy.

Methods: 27 non-syndromic infants underwent open Kasai portoenterostomy from 2007 to 2012. The age and the sex of the patient, the bilirubin level before the operation, the early clearance of jaundice (total bilirubin <20 μmol/L within 6 month of portoenterostomy), the native liver survival at 2 years after the operation were reviewed. The results were retrospectively compared with all 16 infants who underwent laparoscopic Kasai portoenterostomy before 2007.

Results: All infants had type III biliary atresia. No statistical difference was observed regarding the age at operation and the pre-operative bilirubin level. The early clearance of jaundice rate was 81% (22/27) after open operation and was 50% (8/16) after laparoscopic operation (p = 0.03). At 2 years after the operation, the native liver survival was 81% (22/27) after open operation and was 50% (8/16) after laparoscopic operation (p = 0.03).

Conclusion: Reintroduction of open Kasai portoenterostomy was associated with superior early clearance of jaundice rate and 2-year native liver survival rate.

PubMed Disclaimer

References

    1. J Laparoendosc Adv Surg Tech A. 2011 Apr;21(3):291-4 - PubMed
    1. J Pediatr Surg. 2010 Aug;45(8):1665-7 - PubMed
    1. Pediatr Surg Int. 2002 Dec;18(8):737-40 - PubMed
    1. Pediatr Surg Int. 2008 Aug;24(8):931-3 - PubMed
    1. J Pediatr Surg. 2007 May;42(5):869-72 - PubMed

LinkOut - more resources