Laparoscopic Kasai portoenterostomy can be a standard surgical procedure for treatment of biliary atresia
Chiyoe Shirota, Akinari Hinoki, Takahisa Tainaka, Wataru Sumida, Fumie Kinoshita, Kazuki Yokota, Satoshi Makita, Hizuru Amano, Yoichi Nakagawa, Hiroo Uchida
Abstract
BACKGROUND: Biliary atresia (BA) is a rare pediatric disease. AIM: To compare the outcomes of laparoscopic portoenterostomy (Lap-PE) with those of laparotomy (Open-PE) at a single institution. METHODS: The surgical outcomes of PE were retrospectively analyzed for patients with a non-correctable type of BA from 2003 to 2020. RESULTS: = 0.176). Native liver survival rates were >80% for both groups for the first half year post surgery, followed by a gradual decrease with time; there were no statistically significant differences in the native liver survival rates for any durations assessed. CONCLUSION: Lap-PE could be a standard therapy for BA.