ArticleSurgery today2026
Comparative outcomes of open and laparoscopic Kasai portoenterostomy for biliary Atresia patients progressing to liver transplantation: A Real-World cohort study.
Article in Surgery today, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
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Authors and funding
14 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeWe compared the long-term outcomes of open (OKPE) versus laparoscopic Kasai portoenterostomy (LKPE) for children with biliary atresia (BA) who ultimately progressed to liver transplantation (LT).
methodsThe subjects of this retrospective multicenter analysis were 276 BA patients (OKPE:225, LKPE:51) undergoing living donor liver transplantation (LDLT) between 2021 and 2023. Propensity score matching (PSM, 51 pairs) and inverse probability treatment weighting (IPTW) balanced the confounders. The time from KPE to LDLT was assessed using Kaplan-Meier curves and Cox regression analysis.
resultsThere were no significant differences in the median time from KPE to LDLT between the OKPE and LKPE groups (228 days vs. 203 days, p = 0.756). Multivariable Cox regression identified patient age at KPE (HR = 1.002, p < 0.01), but not the surgical approach, as a factor influencing the timing of transplantation. No significant differences were observed in postoperative complications, LDLT-free survival rates, or intraoperative transplant metrics between the groups.
conclusionsFor BA infants who progress to LT after KPE, OKPE and LKPE have comparable impact on post-KPE complications, survival time, and outcomes following LT. Thus, the emphasis should be on optimal surgical timing and standardized postoperative management.
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41384976What Socratic holds
Registered trials
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