2024-03-29T09:06:54Z
https://nagoya.repo.nii.ac.jp/oai
oai:nagoya.repo.nii.ac.jp:00027958
2023-01-16T04:43:44Z
499:500:501
Multicenter, retrospective, comparative study of laparoscopic and open Kasai portoenterostomy in children with biliary atresia from Japanese high-volume centers
Murase, Naruhiko
Hinoki, Akinari
Shirota, Chiyoe
Tomita, Hirofumi
Shimojima, Naoki
Sasaki, Hideyuki
Nio, Masaki
Tahara, Kazunori
Kanamori, Yutaka
Shinkai, Masato
Yamamoto, Hirotoshi
Sugawara, Yasuhiko
Hibi, Taizo
Ishimaru, Tetsuya
Kawashima, Hiroshi
Koga, Hiroyuki
Yamataka, Atsuyuki
Uchida, Hiroo
open access
This is the peer reviewed version of the following article: [Murase, N. , Hinoki, A. , Shirota, C. , Tomita, H. , Shimojima, N. , Sasaki, H. , Nio, M. , Tahara, K. , Kanamori, Y. , Shinkai, M. , Yamamoto, H. , Sugawara, Y. , Hibi, T. , Ishimaru, T. , Kawashima, H. , Koga, H. , Yamataka, A. and Uchida, H. (2019), Multicenter, retrospective, comparative study of laparoscopic and open Kasai portoenterostomy in children with biliary atresia from Japanese high‐volume centers. J Hepatobiliary Pancreat Sci, 26: 43-50. doi:10.1002/jhbp.594], which has been published in final form at [https://doi.org/10.1002/jhbp.594]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.
Biliary atresia
Kasai
Laparoscopy
Multicenter study
Portoenterostomy
Prognostic factor
Background: Multicenter study was undertaken to analyze the results of laparoscopic and open Kasai portoenterostomy. Methods: Subjects were infants with type III biliary atresia who underwent open operation (n = 106) or laparoscopic operation (n = 21) between January 2012 and December 2015. Clinical data were compared between open and laparoscopic operations (2016‐0534). Propensity score matching was performed to reduce the effect of treatment selection bias. Multivariate analyses were used to estimate the effect of the surgical approach on the jaundice clearance rate and the native liver survival rate. Results: The postoperative jaundice clearance rate and the 1‐year native liver survival rate were not significantly different between open and laparoscopic operations. Rates of cholangitis and major complications of laparoscopic operation were comparable to those of open operation. Blood loss, time to resume oral intake, time to drain removal, and duration of analgesic usage of laparoscopic operation were significantly superior to those of open operation. Similar results were observed when analysis was adjusted based on propensity score. Multivariate analyses demonstrated that only age at operation was a poor prognostic factor. Conclusion: Laparoscopic Kasai portoenterostomy was associated with several favorable perioperative outcomes compared with open Kasai portoenterostomy. The difference of surgical approach was not a significant independent predictor.
ファイル公開:2020-01-24
Wiley
2019-01-24
eng
journal article
AM
http://hdl.handle.net/2237/00030156
https://nagoya.repo.nii.ac.jp/records/27958
https://doi.org/10.1002/jhbp.594
1868-6974
1868-6982
Journal of Hepato-Biliary-Pancreatic Sciences
26
1
43
50
https://nagoya.repo.nii.ac.jp/record/27958/files/LapBA_PDF.pdf
application/pdf
1.1 MB
2020-01-24