Kasai Portoenterostomy (Open and MIS Approaches)

Abstract

This chapter describes open and laparoscopic Kasai portoenterostomy as performed by the following approaches: cholangiogram and exploration of extrahepatic bile system for congenital atresia, resection of extrahepatic bile ducts and fibrous cone at porta hepatis, and creation of Roux-en-Y jejuno-jejunostomy with portoenterostomy. The text includes an introduction that outlines the indications, risks, alternatives, essential steps, needed equipment, and variations in technique for the procedure in question. This is followed by a template operative dictation that provides the reader with an operative report, such as that found in a patient chart or electronic medical record. A description is provided of the critical concepts and different techniques for this procedure.