Retrospective Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Jan 27, 2022; 14(1): 56-63
Published online Jan 27, 2022. doi: 10.4240/wjgs.v14.i1.56
Laparoscopic Kasai portoenterostomy can be a standard surgical procedure for treatment of biliary atresia
Chiyoe Shirota, Akinari Hinoki, Takahisa Tainaka, Wataru Sumida, Fumie Kinoshita, Kazuki Yokota, Satoshi Makita, Hizuru Amano, Yoichi Nakagawa, Hiroo Uchida
Chiyoe Shirota, Takahisa Tainaka, Wataru Sumida, Kazuki Yokota, Satoshi Makita, Hizuru Amano, Yoichi Nakagawa, Hiroo Uchida, Department of Pediatric Surgery, Nagoya University Graduate School of Medicine, Nagoya 4668550, Aichi, Japan
Akinari Hinoki, Rare/Intractable Cancer Analysis Research, Nagoya University Graduate School of Medicine, Nagoya 4668550, Aichi, Japan
Fumie Kinoshita, Department of Advanced Medicine, Nagoya University Hospital, Nagoya 466-8560, Aichi, Japan
Author contributions: Shirota C, Tainaka T, Sumida W, Yokota K, and Makita S collected the patient data; Shirota C and Hinoki A analyzed patient images; Hinoki A and Nakagawa Y interpreted the patient data regarding operation; Kinoshita F analyzed the statistics; Shirota C and Uchida H were main contributors in writing the manuscript; and all authors have read and approved the final manuscript.
Institutional review board statement: The study was reviewed and approved by the (Nagoya University Hospital) Institutional Review Board (Approval No. 2020-0593).
Conflict-of-interest statement: All authors have no conflicts of interest to disclose.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hiroo Uchida, MD, PhD, Doctor, Professor, Department of Pediatric Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Syowa-ku, Nagoya 4668550, Aichi, Japan. hiro2013@med.nagoya-u.ac.jp
Received: April 5, 2021
Peer-review started: April 5, 2021
First decision: July 3, 2021
Revised: July 31, 2021
Accepted: January 13, 2022
Article in press: January 13, 2022
Published online: January 27, 2022
Core Tip

Core Tip: The aim of this study was to compare the outcomes of laparoscopic portoenterostomy (Lap-PE) with those of laparotomy (Open-PE) at our single institution. Although the surgical operating time was longer, the lower blood loss and more favorable postsurgical recovery (shorter time to resume oral intake and time to drain removal as well as less postsurgical adhesion) were significant advantages of Lap-PE over Open-PE. There was no significant difference in native liver survival rates or short-term surgical outcomes between LapPE and OpenPE. Therefore, our study results support the efficacy of Lap-PE as a standard therapy.