Zhan Jianghua,Chen Yajun.Advantages and disadvantages of Kasai operation and liver transplantation for biliary atresia[J].Journal of Clinical Pediatric Surgery,2021,20(02):101-106.[doi:10.12260/lcxewkzz.2021.02.001]
Kasai手术与肝移植治疗胆道闭锁的利弊思考
- Title:
- Advantages and disadvantages of Kasai operation and liver transplantation for biliary atresia
- Keywords:
- Biliary Atresia/SU; Kasai Operation; Liver Transplantation
- 分类号:
- R657.4+4 R726.1
- 摘要:
- 胆道闭锁是婴儿期严重肝胆疾病之一,手术是挽救生命的唯一方法,目前遵循Kasai手术-肝移植序贯治疗的手术方式,但随着儿童肝移植技术的发展,BA患者肝移植后的疗效得到了明显改善,学者们重新思考Kasai手术在胆道闭锁治疗中的作用。本文对两种手术方式的发展、结果、利弊等进行对比总结,分析肝移植时代Kasai手术的价值。
- Abstract:
- Biliary atresia is one of severe hepatobiliary diseases in infancy and surgery has remained a sole option of saving lives.Currently a sequential treatment of Kasai operation and liver transplantation is practiced.However,with the technological development of liver transplantation in children,the curative effect of liver transplantation has significantly improved.The role of kasai operation is relonsidered.This review summarized the evolutions,results,advantages and disadvantages of two surgical approaches and discussed the value of Kasai operation in the era of liver transplantation.
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备注/Memo
收稿日期:2020-12-15。
基金项目:天津市卫生行业重点攻关项目(编号:14KG129)
通讯作者:詹江华,Email:zhanjianghuatj@163.com