ArticleJournal of Indian Association of Pediatric Surgeons
Laparoscopic Kasai Portoenterostomy - Technical Challenges, Modifications, and Outcomes.
Article in Journal of Indian Association of Pediatric Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Laparoscopic Kasai operation stands as one of the most intricate laparoscopic procedures and its efficacy in treating biliary atresia remains a subject of controversy till date. We have performed five laparoscopic Kasai procedures and here we describe the technical modifications and our initial results. Materials and Methods: We performed a retrospective analysis of a total of five cases of biliary atresia performed laparoscopically over the last 5 years at our institution. We have used three ports and indocyanine green guidance for determining the accurate extent and depth of dissection of the fibrous portal plate. Results: All patients undergoing laparoscopic Kasai Portoenterostomy had a smooth postoperative transit. The mean total bilirubin at 6 months' follow-up was 2.33 mg/dl (0.5-4.5 mg/dl). Two patients were anicteric on the most recent postoperative visit. Laparoscopic Kasai porto-enterostomy is recognized for minimizing blood loss, reducing the need for opioids and for causing lesser adhesions at the porta thereby making future liver transplantation comparatively easy. Conclusion: We conclude that although laparoscopic Kasai porto-enterostomy is a technically challenging procedure, however, it can safely be performed by experienced laparoscopic pediatric surgeons.
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