ArticleBioMed research international2015
A New Era of Laparoscopic Revision of Kasai Portoenterostomy for the Treatment of Biliary Atresia.
Article in BioMed research international, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 4 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Laparoscopic vs. open portoenterostomy for biliary atresia: a meta-analysis of pediatric surgical outcomes.Frontiers in pediatrics · 2024Pooled it
- Laparoscopic vs open portoenterostomy in biliary atresia: a systematic review and meta-analysis.Pediatric surgery international · 2021Pooled it
- Hepatic Subcapsular Flow as a Significant Diagnostic Marker for Biliary Atresia: A Meta-Analysis.Disease markers · 2020Pooled it
- Comparison of laparoscopic portoenterostomy and open portoenterostomy for the treatment of biliary atresia.Surgical endoscopy · 2019Pooled it
- The characteristics of patients who failed initial Kasai portoenterostomy and the long-term prognosis of those who underwent redo-Kasai: a retrospective observational study.Annals of surgical treatment and research · 2025Article
- Comparison between robotic-assisted Kasai portoenterostomy and open Kasai portoenterostomy in patients with biliary atresia.Surgical endoscopy · 2025Article
- Laparoscopic revision of Kasai portoenterostomy after initial laparoscopic portoenterostomy in patients with biliary atresia: a limited but positive effect on native liver survival.Pediatric surgery international · 2022Article
- Medium-term outcomes after laparoscopic revision of laparoscopic Kasai portoenterostomy in patients with biliary atresia.Orphanet journal of rare diseases · 2021Article
- Laparoscopic Kasai portoenterostomy is advantageous over open Kasai portoenterostomy in subsequent liver transplantation.Surgical endoscopy · 2020Article
- Association of common variation inAging · 2020Article
- Efficacy of and prognosis after steroid pulse therapy in patients with poor reduction of jaundice after laparoscopic Kasai portoenterostomy.Pediatric surgery international · 2019Article
- Retrospective investigation about anesthetic management of biliary atresia in children: laparoscopic versus conventional Kasai portoenterostomy.JA clinical reports · 2019Article
- Clinical Assessment of Differential Diagnostic Methods in Infants with Cholestasis due to Biliary Atresia or Non-Biliary Atresia.Current medical science · 2018Article
- Laparoscopic portoenterostomy for biliary atresia: single-center experience and review of literatures.Pediatric surgery international · 2017Review
- Review of redo-Kasai portoenterostomy for biliary atresia in the transition to the liver transplantation era.Nagoya journal of medical science · 2017Review
- Laparoscopic Kasai Portoenterostomy - Technical Challenges, Modifications, and Outcomes.Journal of Indian Association of Pediatric SurgeonsArticle
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeKasai portoenterostomy is the standard therapy for biliary atresia (BA). If Kasai is unsuccessful, there is controversy over whether revision of Kasai restores adequate biliary drainage. Although there are several reports of laparoscopic Kasai (Lap-Kasai), none has described laparoscopic revision (Lap-revision). The purposes of this study were to evaluate the feasibility and efficacy of Lap-revision.
methods65 patients underwent open Kasai between November 2001 and November 2013, and 12 patients underwent Lap-Kasai between December 2013 to January 2015. The indications for revision included bile flow cessation and recurrent cholangitis. Clinical data were compared between open and laparoscopic revisions of Kasai.
resultsOpen revision of Kasai was performed in 20 patients after open Kasai, and Lap-revision was performed in 4 patients after Lap-Kasai. Lap-revision was completed without conversion or major complication in any patient. The bilirubin level was normalized by Lap-revision in all four patients, and three of them were alive with their native liver. Open and laparoscopic revisions of Kasai were comparable in terms of the operation time, blood loss, and surgical outcomes.
conclusionLap-revision is a feasible and effective method for the treatment of BA and might herald a new era for the treatment of this disease.
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