The short-and mid-term prognosis and influencing factors of Kasai portoenterostomy for 220 cases of type Ⅲ biliary atresia
10.3670.cma.j.issn.1007-631X.2019.08.004
- VernacularTitle:220例Ⅲ型胆道闭锁Kasai手术预后的影响因素分析
- Author:
Ruijie ZHOU
1
,
2
;
Anxiao MING
;
Mei DIAO
;
Long LI
Author Information
1. 北京大学医学部 100191
2. 首都儿科研究所附属儿童医院普通(新生儿) 外科 100020
- Keywords:
Biliary atresia;
Cholangitis;
Jaundice,obstructive
- From:
Chinese Journal of General Surgery
2019;34(8):659-662
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the short-and mid-term prognosis and its influencing factors of Kasai portoenterostomy for type Ⅲ biliary atresia.Methods 220 infants with type Ⅲ biliary atresia who underwent Kasai surgery at Capital Pediatric Institution from Jan 2014 to June 2017 were retrospectively reviewed.There were 88 males and 132 females,with an average age at operation (60 ±23) d.The followup time ranged from 12 to 53 months.Results The survival rate with native liver (SNL) at 1,2,and 3 years after Kasai operation were 65％,59.6％,and 57.0％,respectively.The clearance rate of jaundice within 3 months after Kasai was 50.5％;3-year SNL of infants whose jaundice disappeared or did not after operation were 86.8％ and 27.1％ (P ＜ 0.05).The overall incidence of cholangitis was 60％.The clearance rate of jaundice in children with or without cholangitis was 55.3％ and 43.2％,while the 3-year SNL were 62.4％ and 49.6％,respectively (P ＞ 0.05).Conclusion The 3-year survival rate on their native liver after Kasai operation in infants with type Ⅲ biliary atresia can reach up to 57％.The clearance of jaundice within 3 months post-operation is the main factor affecting prognosis.The age at surgery and the occurrence of cholangitis do not affect the survival rate of native liver in the short-and mid-term prognosis.
