Experience of treating biliary atresia with laparoscopic‐modified Kasai and laparoscopic conventional Kasai: a cohort study

Background Complete mobilization of the left and right portal veins had been seldom utilized in the laparoscopic Kasai procedures. The purpose of this study was to evaluate the feasibility and efficacy of the key technique in detail. Methods A total of 82 patients with type III biliary atresia were...

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Bibliographic Details
Published in:ANZ journal of surgery 2021-06, Vol.91 (6), p.1170-1173
Main Authors: Li, Bing, Chen, Bing Wei, Xia, Lin Shun
Format: Article
Language:English
Subjects:
biliary aresia
Biliary atresia
Cholangitis
Cohort analysis
Jaundice
Laparoscopy
modification
Patients
portal vein
Survival
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Summary:Background Complete mobilization of the left and right portal veins had been seldom utilized in the laparoscopic Kasai procedures. The purpose of this study was to evaluate the feasibility and efficacy of the key technique in detail. Methods A total of 82 patients with type III biliary atresia were operated by laparoscopic Kasai at our hospital during January 2012 to October 2019. Forty‐two patients underwent modified laparoscopic Kasai (group 1), and 40 patients of control group underwent general laparoscopic Kasai (group 2). The clinical data between the two groups were compared. Results The early clearance of jaundice was significantly higher for group 1 (88.1%) versus group 2 (68.4%) (P 
ISSN:1445-1433
1445-2197
DOI:10.1111/ans.16872