临床小儿外科杂志2024，Vol.23Issue(8)：701-705,5.DOI:10.3760/cma.j.cn101785-202406003-001
腹腔镜下Kasai手术治疗胆道闭锁展望
Prospects of laparoscopic surgery for biliary atresia
摘要
Abstract
Biliary atresia is a common cause of cholestasis in infants.As children grow,they may devel-op progressive liver fibrosis and cirrhosis,which,if not addressed promptly,can ultimately lead to liver failure.The Kasai procedure is the preferred surgical treatment for biliary atresia.While laparoscopic Kasai surgery of-fers advantages such as clearer visualization and improved maneuverability,its application in the treatment of biliary atresia remains controversial.Early laparoscopic Kasai procedures had suboptimal outcomes in terms of jaundice clearance rates and native liver survival.However,with ongoing advancements in surgical techniques,the efficacy of laparoscopic Kasai surgery has significantly improved.The short-to medium-term native liver sur-vival rates now match those of open surgery,and laparoscopic techniques may offer advantages in jaundice clear-ance and reduction of postoperative abdominal adhesions.This review,based on literature and authors'extensive clinical experience,discusses the development and prospects of laparoscopic Kasai surgery for biliary atresia.It concludes that while laparoscopic Kasai surgery can achieve clinical outcomes comparable to open surgery,it is technically challenging and has a steep learning curve,making it suitable only for carefully selected medical centers.关键词
胆道闭锁/外科手术/腹腔镜检查Key words
Biliary Atresia/Surgical Procedures,Operative/Laparoscopy引用本文复制引用
谢婷,周崇高..腹腔镜下Kasai手术治疗胆道闭锁展望[J].临床小儿外科杂志,2024,23(8):701-705,5.基金项目
国家临床重点专科重大科研专项(Z2023072) Supported by National Key Clinical Specialty Scientific Research Project(Z2023072) （Z2023072）
