Laparoscopic versus conventional Kasai portoenterostomy does not facilitate subsequent liver transplantation in infants with biliary atresia

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Christina Oetzmann von SochaczewskiJoachim F Kuebler

Abstract

The benefit of laparoscopic Kasai portoenterostomy remains controversial. With the progression of the disease, significant numbers of patients require liver transplantation. It has been reported that reduced internal scarring and fewer adhesions could facilitate the subsequent liver transplantation and thus represent a potential advantage of the laparoscopic technique. All patients undergoing liver transplantation in our hospital between 2006 to 2008 after a laparoscopic or conventional Kasai procedure were included in this retrospective analysis. Primary outcome measure was duration of liver explantation. Secondary outcome measures were total duration of transplantation, amount of blood transfusion, and need for reoperation within the first year. In total, 19 patients were included: 11 patients after open Kasai and 8 patients after laparoscopic Kasai. There was no significant difference in patient characteristics. The mean duration of liver explantation was comparable in laparoscopic (125±8 minutes) and conventional (116±6 minutes) (P>.05) patients. Moreover, we did not identify any significant difference in the need for blood transfusions, total liver transplantation duration, and need for reoperation. We did not detect any m...Continue Reading

References

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Citations

Oct 30, 2012·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Beuy Joob, Viroj Wiwanitkit
Jan 11, 2013·ISRN Surgery·Barbara E Wildhaber
Jan 19, 2016·Clinics and Research in Hepatology and Gastroenterology·Laure NizeryMuriel Girard
Dec 13, 2017·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Sheng-Yang HuangChia-Man Chou
Oct 7, 2017·Pediatric Surgery International·Claus Petersen
Jan 14, 2017·World Journal of Hepatology·Krishna Kumar Govindarajan
Oct 13, 2017·Pediatric Surgery International·Joel CazaresAtsuyuki Yamataka
Jul 17, 2021·Pediatric Surgery International·David Eugenio Hinojosa-GonzalezEduardo Flores-Villalba

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