Article

Initial experience of single-incision laparoscopic hepaticojejunostomy using conventional instruments for correctable biliary atresia.

Department of Pediatric Surgery, Capital Institute of Pediatrics, Beijing, China.
Journal of Laparoendoscopic & Advanced Surgical Techniques (impact factor: 1.4). 06/2012; 22(6):615-20. DOI:10.1089/lap.2011.0518 pp.615-20
Source: PubMed

ABSTRACT Single-incision laparoscopic surgery aims to minimize surgical trauma. Yet there has been no report on its application to the treatment of correctable biliary atresia (BA). We present here our initial mini-series of successful single-incision laparoscopic hepaticojejunostomy (SILH) for correctable BA.
We reviewed 4 correctable BA patients (Type I/II, 3/1) who underwent SILH between May and July 2011. Ultrasonography, upper gastrointestinal contrast studies, and blood tests were performed during the follow-up period. The age at operation, operative time, postoperative hospital stay, resumption of full diet, postoperative complications, and perioperative laboratory tests were evaluated.
The median age at operation was 21 days. The median operative time was 2 hours. Blood loss was minimal. The median follow-up duration was 4.5 months. Jaundice gradually declined after 3-5 days in Type I and 6 days in Type II BA patient. There was no mortality or surgical complication so far.
In experienced hands, SILH for treatment of correctable BA is safe and effective.

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Keywords

4 correctable BA patients
 
6 days
 
Blood loss
 
blood tests
 
correctable BA
 
correctable biliary atresia
 
full diet
 
initial mini-series
 
median age
 
median follow-up duration
 
median operative time
 
minimize surgical trauma
 
operative time
 
perioperative laboratory tests
 
postoperative complications
 
postoperative hospital
 
Single-incision laparoscopic surgery
 
successful single-incision laparoscopic hepaticojejunostomy
 
Type II BA patient
 
upper gastrointestinal contrast studies
 

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