Laparoscopic Kasai portoenterostomy for biliary atresia

J Hepatobiliary Pancreat Sci. 2013 Jun;20(5):481-6. doi: 10.1007/s00534-013-0607-1.

Abstract

Minimally invasive surgery requires mastery of complex skills and exhaustive knowledge of anatomic variations but the patient benefits from excellent cosmesis, less requirement for analgesia and respiratory support, and a reduced incidence of postoperative morbidity, such as bowel adhesions and incisional hernias. Laparoscopic portoenterostomy is being performed with encouraging results after the open extended portoenterostomy procedure currently performed was revised to more closely resemble the original procedure developed by Kasai in the 1950s. Thus, the risk for damage to micro bile ducts around the porta hepatis is minimized because deep suturing and extensive dissection are eliminated.

MeSH terms

  • Biliary Atresia / surgery*
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Laparoscopy / methods*
  • Male
  • Portoenterostomy, Hepatic / methods*
  • Postoperative Complications
  • Treatment Outcome