Paediatric Hepatobiliary

Role of laparoscopy during surgery at the porta hepatis

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A Yamataka, G J Lane, H Koga, J Cazares, H Nakamura

Abstract


Minimally invasive surgery in children has evolved to the extent that complex procedures can be performed with safety, with comparable outcomes to open surgery and with the advantages of minimal scarring and less pain. In this article, we describe the latest laparoscopic techniques used at Juntendo University Hospital in Japan, for treating conditions affecting the porta hepatis, focusing on biliary atresia and choledochal cysts. We also summarise our postoperative management protocols and discuss preliminary outcomes.


Authors' affiliations

A Yamataka, Department of Pediatric Surgery, Juntendo University School of Medicine, Tokyo, Japan

G J Lane, Department of Pediatric Surgery, Juntendo University School of Medicine, Tokyo, Japan

H Koga, Department of Pediatric Surgery, Juntendo University School of Medicine, Tokyo, Japan

J Cazares, Department of Pediatric Surgery, Hospital Regional de Alta Especialidad Materno Infantil, Monterrey, Mexico

H Nakamura, Department of Pediatric Surgery, Juntendo University School of Medicine, Tokyo, Japan

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Keywords

Laparoscopy; Biliary atresia; Choledochal cyst; Portoenterostomy; Intraoperative endoscopy; Children

Cite this article

South African Medical Journal 2014;104(11):820-824. DOI:10.7196/SAMJ.8921

Article History

Date submitted: 2014-09-15
Date published: 2014-10-24

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