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.
Similar content being viewed by others
References
Yamataka A, Kato Y, Miyano T. Biliary tract disorders and portal hypertension (Chapter 44). In: Holcomb GW, Murphy JP, editors. Ashcraft’s pediatric surgery. 5th ed. Philadelphia: Elsevier; 2010. p. 557–77.
Nio M, Ohi R. Biliary atresia. Semin Pediatr Surg. 2000;9:177–86.
Davenport M. Biliary atresia: clinical aspects. Semin Pediatr Surg. 2012;21:175–84.
Kasai M. Surgery for biliary atresia. Japan surgical society video library: No. 78-07.
Esteves E, Clemente NE, Ottaiano NM, Devanir J Jr, Esteves PR. Laparoscopic Kasai portoenterostomy for biliary atresia. Pediatr Surg Int. 2002;18:737–40.
Bax NMA, Georgeson K. Biliary atresia panel session. Presentation at the 16th Annual Congress of the International Pediatric Endosurgery Group (IPEG), Buenos Aires; 2007.
Davenport M, Ure BM, Petersen C, Kobayashi H. Surgery for biliary atresia—is there a European consensus? Eur J Pediatr Surg. 2007;17:180–3.
Wong KK, Chung PH, Chan KL, Fan ST, Tam PK. Should open Kasai portoenterostomy be performed for biliary atresia in the era of laparoscopy? Pediatr Surg Int. 2008;24:931–3.
Ure BM, Kuebler JF, Schukfeh N, Engelmann C, Dingemann J, Petersen C. Survival with the native liver after laparoscopic versus conventional Kasai portoenterostomy in infants with biliary atresia: a prospective trial. Ann Surg. 2011;253:826–30.
Koga H, Miyano G, Takahashi T, Shimotakahara A, Kato Y, Lane GJ, et al. Laparoscopic portoenterostomy for uncorrectable biliary atresia using Kasai’s original technique. J Laparoendosc Adv Surg Tech A. 2011;21(3):291–4.
Davenport M, Yamataka A. Surgery for Biliary Atresia. In: Spitz L, editor. Operative pediatric surgery. 7th ed. (in press).
Yamataka A, Lane GJ, Cazares J. Laparoscopic surgery for biliary atresia and choledochal cyst. Semin Pediatr Surg. 2012;21:201–10.
Jesch NK, Vieten G, Tschernig T, Schroedel W, Ure BM. Mini-laparotomy and full laparotomy, but not laparoscopy, alter hepatic macrophage populations in a rat model. Surg Endosc. 2005;19:804–10.
Kuebler JF, Kos M, Jesch NK, van der Metzelder ML, Zee DC, Bax KM, et al. Carbon dioxide suppresses macrophage superoxide anion production independent of extracellular pH and mitochondrial activity. J Pediatr Surg. 2007;42:244–8.
Author information
Authors and Affiliations
Corresponding author
About this article
Cite this article
Yamataka, A. Laparoscopic Kasai portoenterostomy for biliary atresia. J Hepatobiliary Pancreat Sci 20, 481–486 (2013). https://doi.org/10.1007/s00534-013-0607-1
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00534-013-0607-1