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01-06-2014 | Original Article

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

Authors: Kin Wai E. Chan, 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

Published in: Pediatric Surgery International | Issue 6/2014

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.

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Title: From laparoscopic to open Kasai portoenterostomy: the outcome after reintroduction of open Kasai portoenterostomy in infant with biliary atresia
Authors: Kin Wai E. Chan
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
Publication date: 01-06-2014
Publisher: Springer Berlin Heidelberg
Published in: Pediatric Surgery International / Issue 6/2014
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-014-3499-5

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

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

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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