2024-03-29T05:41:38Z
https://nagoya.repo.nii.ac.jp/oai
oai:nagoya.repo.nii.ac.jp:00024699
2023-11-16T04:17:27Z
499:508:509:2036
Review of redo-Kasai portoenterostomy for biliary atresia in the transition to the liver transplantation era
Sumida, Wataru
73281
Uchida, Hiroo
73282
Tanaka, Yujiro
73283
Tainaka, Takahisa
73284
Shirota, Chiyoe
73285
Murase, Naruhiko
73286
Oshima, Kazuo
73287
Shirotsuki, Ryo
73288
Chiba, Kousuke
73289
biliary atresia
laparoscopic operation
portoenterostomy
reoperatio
2017-08
Portoenterostomy (PE) is the standard therapy for biliary atresia (BA). PE offers the chance of survival to children with BA. PE was the ultimate therapeutic modality for BA before liver transplantation (LT) was available. Failure of biliary drainage with PE was almost invariably fatal in children with BA. In such cases, redo-PE was performed to salvage patients following PE failure. PE remains the standard first treatment for BA despite the availability of LT. Further, redo-PE is also performed in a limited number of cases despite the development of LT as an alternative means of PE. However, there is concern that redo-PE increases morbidity at the time of subsequent LT. Laparoscopic redo-PE has recently been described. Laparoscopic redo-PE is expected to reduce complications of LT by preventing abdominal adhesion associated with repetitive surgery. In the present article, the future utility of redo-PE and the history of its changing roles are reviewed.
departmental bulletin paper
Nagoya University Graduate School of Medicine, School of Medicine
2017-08
Nagoya Journal of Medical Science
3
79
415
420
http://hdl.handle.net/2237/26919
2186-3326
0027-7622
eng
http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/793.html
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