Xie Ting,Zhou Chonggao.Prospects of laparoscopic surgery for biliary atresia[J].Journal of Clinical Pediatric Surgery,,():701-705.[doi:10.3760/cma.j.cn101785-202406003-001]
Prospects of laparoscopic surgery for biliary atresia
- Keywords:
- Biliary Atresia; Surgical Procedures; Operative; Laparoscopy
- Abstract:
- Biliary atresia is a common cause of cholestasis in infants.As children grow,they may develop progressive liver fibrosis and cirrhosis,which,if not addressed promptly,can ultimately lead to liver failure.The Kasai procedure is the preferred surgical treatment for biliary atresia.While laparoscopic Kasai surgery offers advantages such as clearer visualization and improved maneuverability,its application in the treatment of biliary atresia remains controversial.Early laparoscopic Kasai procedures had suboptimal outcomes in terms of jaundice clearance rates and native liver survival.However,with ongoing advancements in surgical techniques,the efficacy of laparoscopic Kasai surgery has significantly improved.The short-to medium-term native liver survival rates now match those of open surgery,and laparoscopic techniques may offer advantages in jaundice clearance and reduction of postoperative abdominal adhesions.This review,based on literature and authors’ extensive clinical experience,discusses the development and prospects of laparoscopic Kasai surgery for biliary atresia.It concludes that while laparoscopic Kasai surgery can achieve clinical outcomes comparable to open surgery,it is technically challenging and has a steep learning curve,making it suitable only for carefully selected medical centers.
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Memo
收稿日期:2024-6-6。
基金项目:国家临床重点专科重大科研专项(Z2023072)
通讯作者:周崇高,Email:zhoucg_hnch@163.com