名古屋大学 · 医学
Uchida教授の研究室は、小児肝胆道疾患、特に胆道閉鎖症の治療に焦点を当てた先進的な手術研究を推進しています。特にラミネクトミーを用いたキアスポートエンテロステオトミー(Lap-Kasai)の臨床的有効性と、その再手術的アプローチ(Lap-revision)の可能性を検証しています。手術アプローチの違いが術後予後に与える影響を精密に分析し、小児肝外科治療の国際的基準形成を目指しています。
Figures are computed from collected data and may differ slightly.
Laparoscopic Kasai portoenterostomy was associated with several favorable perioperative outcomes compared with open Kasai portoenterostomy. The difference of surgical approach was not a significant independent predictor.
Purpose. Kasai portoenterostomy is the standard therapy for biliary atresia (BA). If Kasai is unsuccessful, there is controversy over whether revision of Kasai restores adequate biliary drainage. Although there are several reports of laparoscopic Kasai (Lap-Kasai), none has described laparoscopic revision (Lap-revision). The purposes of this study were to evaluate the feasibility and efficacy of Lap-revision. Methods. 65 patients underwent open Kasai between November 2001 and November 2013, and
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