Experience of treating biliary atresia with three types of portoenterostomy at a single institution: extended, modified Kasai, and laparoscopic modified Kasai

Wada, Mariko; Nakamura, Hiroki; Koga, Hiroyuki; Miyano, Go; Lane, Geoffrey J.; Okazaki, Tadaharu; Urao, Masahiko; Murakami, Hiroshi; Kasahara, Mureo; Sakamoto, Seisuke; Ishizaki, Yoichi; Kawasaki, Seiji; Yamataka, Atsuyuki

doi:10.1007/s00383-014-3551-5

Cited by 43 publications

(22 citation statements)

References 23 publications

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“…4,[26][27][28] Despite overall improvements in outcomes, the incidence of cholangitis has changed little over time. [29][30][31][32][33][34][35][36] More than 50% of patients (reported to occur between 40 and 93%, this large difference being probably also the result of different diagnostic criteria) after HPE might present one or more episodes of cholangitis 10,37 ; 31% of patients in our series experienced at least one episode of early perioperative cholangitis. Of note, postoperative care changed during the study period (no steroids since 2011), yet incidence of cholangitis did not change over time.…”

Section: Cholangitismentioning

confidence: 99%

Perioperative Complications after Kasai Hepatoportoenterostomy: Data from the Swiss National Biliary Atresia Registry

Calinescu¹,

Wilde²,

Korff

et al. 2019

Eur J Pediatr Surg

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Introduction Hepatoportoenterostomy (HPE) is the first-line treatment for biliary atresia (BA) patients. This study aims to describe perioperative complications after HPE and to analyze their impact on outcome. Materials and Methods Patients with HPE (Swiss National Biliary Atresia Registry, 1994–2017) were retrospectively analyzed. Perioperative complications were defined as complications occurring up to 30 days after surgery. Surgical complications were defined as directly related to the surgical act; medical complications were defined as any other deviation from the uneventful postoperative course. Results Sixty-two patients were included. Median age at HPE was 63 days (18–126). Twenty six patients out of 62 (42%) had ≥ 1 complications: 6/62 (10%) surgical, 24/62 (39%) medical, that is, we observed 7 surgical and 28 medical complications. As for medical complications, cholangitis was the most frequent: 19/28 (68%). Lower gestational age at birth correlated with more overall complications (p = 0.02). Age, weight at HPE, syndromic BA, and postoperative steroid administration were not significantly correlated. There were no perioperative deaths. Perioperative complications did not correlate with overall survival (p = 0.14) and survival with native liver (p = 0.55). Conclusion HPE is often associated with perioperative medical complications. Lower gestational age at birth was significantly associated with more complications. Perioperative complications had no impact on overall outcome.

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Section: Cholangitismentioning

confidence: 99%

Perioperative Complications after Kasai Hepatoportoenterostomy: Data from the Swiss National Biliary Atresia Registry

Calinescu¹,

Wilde²,

Korff

et al. 2019

Eur J Pediatr Surg

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“…Wada [57] в своей статье уделяет большое внимание технике формирования портоэнтероанастомоза традиционным способом. Основным отличием от модифицированной методики является то, что фиброзная площадка иссекается неглубоко и поэтому не требуется отведение ветвей воротной вены.…”

Section: лечение баunclassified

Modern Approaches to the Surgical Treatment of Biliary Atresia

Разумовский

Ratnikov

2018

jour

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The review of literature deals with the current classification of the biliary atresia, presents the authors’ opinion considering a technique of theKasaiprocedure, and displays modern modifications of portoenteroanastomosis estimating their effectiveness. PubMed database and Google Scholar search system were used to search for primary terms. Survival of children with this pathology was analyzed depending on theKasaitechnique, anatomical form, terms of portoenteroanastomosis and importance of early diagnosis of this pathology.

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“…Our portoenterostomies Details of our PE techniques are described elsewhere [16]. We perform OPE and LPE according to the principles described originally by Kasai [17].…”

Section: Maternal/baby Health Handbookmentioning

confidence: 99%

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

et al. 2014

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Experience of treating biliary atresia with three types of portoenterostomy at a single institution: extended, modified Kasai, and laparoscopic modified Kasai

Abstract: This study would suggest that depth of suturing during PE would appear to influence post-PE outcome. LapMK should be reconsidered as a valid treatment option for BA.

Cited by 43 publications

References 23 publications

Perioperative Complications after Kasai Hepatoportoenterostomy: Data from the Swiss National Biliary Atresia Registry

Perioperative Complications after Kasai Hepatoportoenterostomy: Data from the Swiss National Biliary Atresia Registry

Modern Approaches to the Surgical Treatment of Biliary Atresia

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

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