Reappraising the portoenterostomy procedure according to sound physiologic/anatomic principles enhances postoperative jaundice clearance in biliary atresia |
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| Authors: | Hiroki Nakamura Hiroyuki Koga Momoko Wada Go Miyano Rafael Dizon Yoshifumi Kato Geoffrey J Lane Tadaharu Okazaki Atsuyuki Yamataka |
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| Institution: | (1) Department of Pediatric General and Urogenital Surgery, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan; |
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| Abstract: | Background The portoenterostomy (PE) procedure for treating biliary atresia (BA) has been so repeatedly modified that it currently hardly
resembles Kasai’s original PE (KOPE). Now PE involves an extended lateral dissection and a wide anastomosis (extended PE:
EPE). We reappraised KOPE and created our-KOPE (OKOPE) by adhering strictly to its principles and techniques. We compared
outcome of EPE and OKOPE. |
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