For Publishers
DiscoveryMetadataPeer reviewHostingPublishing
For Researchers
JoinPublishReviewCollect
Register
Blog
About
Search
Advanced search
My ScienceOpen
Search
For Publishers
For Researchers
Blog
About
2
views
11
references
 Top references
cited by
0
    
0 reviews
 Review
0
comments
 Comment
0
recommends
+1 Recommend
0 collections
    0
    shares
      420
      similar
       All similar
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Advantage of Using 8K Ultra-High-Definition Television System for Kasai Portoenterostomy for Biliary Atresia

      case-report

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Kasai portoenterostomy (KPE) is currently the first-line treatment for biliary atresia. Many pediatric surgeons have reported that the dissection of the fibrous remnant at the porta hepatis is one of the most important components of this procedure. Furthermore, laparoscopic portoenterostomy is being increasingly used to treat biliary atresia.

          An advantage of laparoscopic surgery is that surgeons can more easily identify microbiliary ducts, owing to the magnification. We report the case of a 61-day-old girl on whom we performed an exploratory laparotomy and diagnosed type III biliary atresia using intraoperative cholangiography. For the first time, we performed an open KPE using an 8K ultra-high-definition television system. This allowed us to clearly view the porta hepatis and to successfully perform the portoenterostomy.

          Related collections

          Most cited references11

          • Record: found
          • Abstract: found
          • Article: not found

          Biliary atresia in England and Wales: results of centralization and new benchmark.

          Mark Davenport, Evelyn Ong, Khalid M Sharif … (2011)
          Biliary atresia (BA) is a rare, potentially life-threatening condition of the newborn presenting with conjugated jaundice. Typically, it is treated by an initial attempt to restore bile flow (the Kasai portoenterostomy [KP]) as soon as possible after diagnosis and, if this fails, liver transplantation. Since 1999, the treatment of BA has been centralized to 3 centers in England and Wales able to offer both treatment options. The aim of this study was to review the outcome of this policy change and provide a national benchmark. The management of all infants born within England and Wales during the period January 1999 to December 2009 was assessed using 3 key performance indicators such as median time to KP, percentage clearance of jaundice (≤20 mol/L) post-KP, and 5- and 10-year native liver and true survival estimates. Data are quoted as median (range), and P < .05 was considered significant. A total of 443 infants had confirmed BA; and of these, most were isolated BA (n = 359), with 84 having other significant anomalies (but predominantly BA splenic malformation syndrome). Four infants died before any biliary intervention. Kasai portoenterostomy was performed in 424 infants (median age, 54 [range 7-209] days), and a primary liver transplant was performed in 15. Clearance of jaundice post-KP was achieved in 232 (55%). There were 41 deaths, including 4 (10%) without any intervention, 24 (58%) post-KP usually because of end-stage liver disease and mostly on a transplant waiting list, and 13 (32%) post-LT usually because of multiorgan failure. Overall, the 5- and 10-year native liver survival estimates were 46% (95% confidence interval [CI], 41-51) and 40% (95% CI, 34-46), respectively. The 5- and 10-year true patient survival estimates were 90% (95% CI, 88-93) and 89% (95% CI, 86-93), respectively. Outcome was worse for those with other anomalies (lower clearance of jaundice post-KP [43% vs 57%; odds ratio, 1.7; 95% CI, 1.04-2.8]; P = .02) and an increased mortality overall (eg, at 5 years, 72 [95% CI, 64-83] vs 94 [95% CI, 91-96]; χ(2) = 33; P < .0001). National outcome measures in BA appear better than those from previously published series from comparable countries and may be attributed to centralization of surgical and medical resources. Copyright © 2011 Elsevier Inc. All rights reserved.
          Article 0 comments Cited 58 times – based on 0 reviews     Review now
            Bookmark
            • Record: found
            • Abstract: not found
            • Article: not found

            Japanese Biliary Atresia Registry

            Masaki Nio (2017)
            Article 0 comments Cited 37 times – based on 0 reviews     Review now
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Prognosis of biliary atresia in the era of liver transplantation: French national study from 1986 to 1996.

              C Chardot, A.-C. Le Bihan, J Golmard … (1999)
              Since the sequential treatment of Kasai operation with or without liver transplantation became available, the overall prognosis of biliary atresia remains unclear. This study examined the prognostic factors from diagnosis. All patients with biliary atresia living in France and born in the years 1986 to 1996 were reviewed. Actuarial survival rates were calculated for survival with native liver, survival after liver transplantation, and overall survival. Potential prognostic factors were analyzed using the logrank test and the Cox model. A total of 472 patients were identified. Ten-year overall survival was 68%. Independent prognostic factors for overall survival were (S = 10-year rates) performance of Kasai operation (performed: S = 69%; not performed: S = 50%), age at Kasai operation ( 45 days: S = 66%), anatomical pattern of extrahepatic bile ducts, polysplenia syndrome, experience of the center ( /=20 [1 center]: S = 78%). Survival with native liver depended on the same independent prognostic factors. In conclusion (1) Kasai operation remains the first line treatment of BA, and (2) early performance of Kasai operation and treatment in an experienced center reduces the need for liver transplantation in infancy and childhood and provides children with the best chance of survival.
              Article 0 comments Cited 35 times – based on 0 reviews     Review now
                Bookmark
                All references

                Author and article information

                Journal
                Journal ID (nlm-ta): European J Pediatr Surg Rep
                Journal ID (iso-abbrev): European J Pediatr Surg Rep
                Journal ID (doi): 10.1055/s-00024358
                Title: European Journal of Pediatric Surgery Reports
                Publisher: Georg Thieme Verlag KG (Rüdigerstraße 14, 70469 Stuttgart, Germany )
                ISSN (Print): 2194-7619
                ISSN (Electronic): 2194-7627
                Publication date (Print): January 2021
                Publication date (Electronic): 27 January 2021
                Volume: 9
                Issue: 1
                Pages: e5-e8
                Affiliations
                [1 ]Division of Pediatric Surgery, Department of Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan
                [2 ]Division of Gastrointestinal Surgery, Department of Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan
                [3 ]Department of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan
                Author notes
                Address for correspondence Hisayuki Miyagi, MD, PhD Division of Pediatric Surgery, Department of Surgery, Asahikawa Medical University Asahikawa, Hokkaido 078-8510Japan miyagi@ 123456mvj.biglobe.ne.jp
                Author information
                http://orcid.org/0000-0001-6504-2197
                Article
                Publisher ID: 200553cr
                DOI: 10.1055/s-0040-1721466
                PMC ID: 7840226
                PubMed ID: 33532171
                SO-VID: 7ca83be7-bc61-4519-b29d-610ee5378eae
                Copyright © The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. ( https://creativecommons.org/licenses/by/4.0/ )
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 30 July 2020
                Date accepted : 09 October 2020
                Funding
                Funding None.
                Categories
                Subject: Case Report

                Keywords: biliary atresia,8k ultra-high-definition television system,kasai portoenterostomy,kasai procedure
                Data availability:
                Keywords: biliary atresia, 8k ultra-high-definition television system, kasai portoenterostomy, kasai procedure

                Comments

                Comment on this article