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  1. C100 医学部/医学系研究科
  2. C100a 雑誌掲載論文
  3. 学術雑誌

Multicenter, retrospective, comparative study of laparoscopic and open Kasai portoenterostomy in children with biliary atresia from Japanese high-volume centers

http://hdl.handle.net/2237/00030156
62d3eeff-7716-4ff6-8cec-eed71e56a0e2
名前 / ファイル ライセンス アクション
LapBA_PDF.pdf LapBA_PDF (1.1 MB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2019-05-10
タイトル
タイトル Multicenter, retrospective, comparative study of laparoscopic and open Kasai portoenterostomy in children with biliary atresia from Japanese high-volume centers
著者 Murase, Naruhiko

× Murase, Naruhiko

WEKO 91055

Murase, Naruhiko

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Hinoki, Akinari

× Hinoki, Akinari

WEKO 91056

Hinoki, Akinari

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Shirota, Chiyoe

× Shirota, Chiyoe

WEKO 91057

Shirota, Chiyoe

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Tomita, Hirofumi

× Tomita, Hirofumi

WEKO 91058

Tomita, Hirofumi

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Shimojima, Naoki

× Shimojima, Naoki

WEKO 91059

Shimojima, Naoki

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Sasaki, Hideyuki

× Sasaki, Hideyuki

WEKO 91060

Sasaki, Hideyuki

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Nio, Masaki

× Nio, Masaki

WEKO 91061

Nio, Masaki

Search repository
Tahara, Kazunori

× Tahara, Kazunori

WEKO 91062

Tahara, Kazunori

Search repository
Kanamori, Yutaka

× Kanamori, Yutaka

WEKO 91063

Kanamori, Yutaka

Search repository
Shinkai, Masato

× Shinkai, Masato

WEKO 91064

Shinkai, Masato

Search repository
Yamamoto, Hirotoshi

× Yamamoto, Hirotoshi

WEKO 91065

Yamamoto, Hirotoshi

Search repository
Sugawara, Yasuhiko

× Sugawara, Yasuhiko

WEKO 91066

Sugawara, Yasuhiko

Search repository
Hibi, Taizo

× Hibi, Taizo

WEKO 91067

Hibi, Taizo

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Ishimaru, Tetsuya

× Ishimaru, Tetsuya

WEKO 91068

Ishimaru, Tetsuya

Search repository
Kawashima, Hiroshi

× Kawashima, Hiroshi

WEKO 91069

Kawashima, Hiroshi

Search repository
Koga, Hiroyuki

× Koga, Hiroyuki

WEKO 91070

Koga, Hiroyuki

Search repository
Yamataka, Atsuyuki

× Yamataka, Atsuyuki

WEKO 91071

Yamataka, Atsuyuki

Search repository
Uchida, Hiroo

× Uchida, Hiroo

WEKO 91072

Uchida, Hiroo

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権利
権利情報 "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."
キーワード
主題Scheme Other
主題 Biliary atresia
キーワード
主題Scheme Other
主題 Kasai
キーワード
主題Scheme Other
主題 Laparoscopy
キーワード
主題Scheme Other
主題 Multicenter study
キーワード
主題Scheme Other
主題 Portoenterostomy
キーワード
主題Scheme Other
主題 Prognostic factor
抄録
内容記述 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.
内容記述タイプ Abstract
内容記述
内容記述 ファイル公開:2020-01-24
内容記述タイプ Other
出版者
出版者 Wiley
言語
言語 eng
資源タイプ
資源タイプresource http://purl.org/coar/resource_type/c_6501
タイプ journal article
DOI
関連識別子
識別子タイプ DOI
関連識別子 https://doi.org/10.1002/jhbp.594
ISSN(print)
収録物識別子タイプ ISSN
収録物識別子 1868-6974
ISSN(Online)
収録物識別子タイプ ISSN
収録物識別子 1868-6982
書誌情報 Journal of Hepato-Biliary-Pancreatic Sciences

巻 26, 号 1, p. 43-50, 発行日 2019-01-24
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