A New Era of Laparoscopic Revision of Kasai Portoenterostomy for the Treatment of Biliary Atresia

Figure 1

(a) During laparoscopic revision of Kasai portoenterostomy, little adhesion was found around the porta hepatis after the laparoscopic Kasai portoenterostomy. (b) Redissection of the hilar plate during laparoscopic revision of Kasai portoenterostomy. PV: portal vein. (c) The fibrous tissue is transected at the hilar plate before baring the liver parenchyma. The fibrous tissue must not be completely resected and must be held lightly on the hilar plate. (d) End-to-end portoenterostomy is completed laparoscopically after trimming the Roux limb.

(a)

(b)

(c)

(d)