Does pneumoperitoneum adversely affect growth, development and liver function in biliary atresia patients after laparoscopic portoenterostomy?

Nakamura, Hiroki; Koga, Hiroyuki; Okazaki, Tadaharu; Urao, Masahiko; Miyano, Go; Okawada, Manabu; Doi, Takashi; Watayo, Hiroko; Ogasawara, Yuki; Lane, Geoffrey J.; Yamataka, Atsuyuki

doi:10.1007/s00383-014-3625-4

Cited by 7 publications

(4 citation statements)

References 31 publications

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“…Twenty-nine studies (1 RCT and 28 NRSs) dealt with four types of procedures, such as Kasai's portoenterostomy (1 RCT 191 and 13 NRSs 192 193 194 195 196 197 198 199 200 201 202 203 204 ), choledochal cyst resection (11 NRSs 192 205 206 207 208 209 210 211 212 213 214 ), cholecystectomy (3 NRSs 215 216 217 ), and hydatid liver cyst resection (1 NRS 218 ). The results are summarized in Table 4 .…”

Section: Resultsmentioning

confidence: 99%

Laparoscopic versus Open Pediatric Surgery: Three Decades of Comparative Studies

et al. 2021

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Introduction Despite its wide acceptance, the superiority of laparoscopic versus open pediatric surgery has remained controversial. There is still a call for well-founded evidence. We reviewed the literature on studies published in the last three decades and dealing with advantages and disadvantages of laparoscopy compared to open surgery. Materials and Methods Studies comparing laparoscopic versus open abdominal procedures in children were searched in PubMed/MEDLINE. Reports on upper and lower gastrointestinal as hepatobiliary surgery and on surgery of pancreas and spleen were included. Advantages and disadvantages of laparoscopic surgery were analyzed for different types of procedures. Complications were categorized using the Clavien–Dindo classification. Results A total of 239 studies dealing with 19 types of procedures and outcomes in 929,157 patients were analyzed. We identified 26 randomized controlled trials (10.8%) and 213 comparative studies (89.2%). The most frequently reported advantage of laparoscopy was shorter hospital stay in 60.4% of studies. Longer operative time was the most frequently reported disadvantage of laparoscopy in 52.7% of studies. Clavien–Dindo grade I to III complications (mild–moderate) were less frequently identified in laparoscopic compared to open procedures (80.3% of studies). Grade-IV complications (severe) were less frequently reported after laparoscopic versus open appendectomy for perforated appendicitis and more frequently after laparoscopic Kasai's portoenterostomy. We identified a decreased frequency of reporting on advantages after laparoscopy and increased reporting on disadvantages for all surgery types over the decades. Conclusion Laparoscopic compared with open pediatric surgery seems to be beneficial in most types of procedures. The number of randomized controlled trials (RCTs) remains limited. However, the number of reports on disadvantages increased during the past decades.

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Section: Resultsmentioning

confidence: 99%

Laparoscopic versus Open Pediatric Surgery: Three Decades of Comparative Studies

et al. 2021

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“…Some studies found this better in terms of less tissue injury, no mobilization of the liver, small wounds etc. 32,33 On the other hand, some studies discourage the use of LPE as a method of BA management. 30,31 It was found that the risk factors played a significant role to attain a successful outcome in the treatment of BA.…”

Section: Discussionmentioning

confidence: 99%

“…30,31 However, after the recent advancement of the technology and instrumentation, some researchers reported the good outcome of the LPE. 32,33 In addition, there are many advantages of LPE including less tissue injury, no mobilization of the liver, smaller wounds, decreased pain and fewer abdominal adhesions. 28 In the meta-analysis published by Li et al in 2019, the outcome of the two techniques (OPE and LPE) for the management of BA patients was compared.…”

Section: Treatment Methodsmentioning

confidence: 99%

Summarization of the literature published on biliary atresia: a comprehensive literature review

Alferaidi

2023

Int J Adv Med

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The leading cause of pediatric liver failure and liver transplantation is biliary atresia. Early diagnosis of BA is challenging, and delayed diagnosis caused many complications. Most BA patients eventually went through liver transplantation even if received the initial treatment of the disease. The incidence of BA is rare hence limited literature has been published about diagnosis, treatment, risk factors and survival rate among BA patients. Therefore, this literature review aimed to provide an opportunity for physicians and researchers to know about different diagnostic and treatment tools as well as about the risk factors causing variation in the survival rate after liver transplantation. Therefore, knowledge about the advanced methods of diagnosis provides an early and accurate diagnosis and providing treatment with fewer risk factors help to increase favorable outcome and increase the survival rate among BA patients.

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“…Furthermore, prolonged pneumoperitoneum was another concern within the learning curve, which may compromise liver function (11)(12)(13). Nakamura et al (14), however, proposed that prolonged pneumoperitoneum during LKPE may have no adverse effects on overall growth or development and liver function in patients with BA. In our study, the median operative time of LKPE was 263 minutes, which was much longer than 188 minutes of OKPE (P < 0.05).…”

Section: Discussionmentioning

confidence: 99%

Medium‐term Outcome of Laparoscopic Kasai Portoenterostomy for Biliary Atresia With 49 Cases

Li¹,

Xiang²,

Wu³

et al. 2018

J. pediatr. gastroenterol. nutr.

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Does pneumoperitoneum adversely affect growth, development and liver function in biliary atresia patients after laparoscopic portoenterostomy?

Abstract: PP during LPE would appear to have no adverse effects on overall growth/development and liver function in BA patients.

Cited by 7 publications

References 31 publications

Laparoscopic versus Open Pediatric Surgery: Three Decades of Comparative Studies

Laparoscopic versus Open Pediatric Surgery: Three Decades of Comparative Studies

Summarization of the literature published on biliary atresia: a comprehensive literature review

Medium‐term Outcome of Laparoscopic Kasai Portoenterostomy for Biliary Atresia With 49 Cases

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