Perioperative Complications after Kasai Hepatoportoenterostomy: Data from the Swiss National Biliary Atresia Registry.

Détails

ID Serval
serval:BIB_BFD1193CEFF7
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Perioperative Complications after Kasai Hepatoportoenterostomy: Data from the Swiss National Biliary Atresia Registry.
Périodique
European journal of pediatric surgery
Auteur(s)
Calinescu A.M., Wilde JCH, Korff S., McLin V.A., Wildhaber B.E.
ISSN
1439-359X (Electronic)
ISSN-L
0939-7248
Statut éditorial
Publié
Date de publication
08/2020
Peer-reviewed
Oui
Volume
30
Numéro
4
Pages
364-370
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
Hepatoportoenterostomy (HPE) is the first-line treatment for biliary atresia (BA) patients. This study aims to describe perioperative complications after HPE and to analyze their impact on outcome.
Patients with HPE (Swiss National Biliary Atresia Registry, 1994-2017) were retrospectively analyzed. Perioperative complications were defined as complications occurring up to 30 days after surgery. Surgical complications were defined as directly related to the surgical act; medical complications were defined as any other deviation from the uneventful postoperative course.
Sixty-two patients were included. Median age at HPE was 63 days (18-126). Twenty six patients out of 62 (42%) had ≥ 1 complications: 6/62 (10%) surgical, 24/62 (39%) medical, that is, we observed 7 surgical and 28 medical complications. As for medical complications, cholangitis was the most frequent: 19/28 (68%). Lower gestational age at birth correlated with more overall complications (p = 0.02). Age, weight at HPE, syndromic BA, and postoperative steroid administration were not significantly correlated. There were no perioperative deaths. Perioperative complications did not correlate with overall survival (p = 0.14) and survival with native liver (p = 0.55).
HPE is often associated with perioperative medical complications. Lower gestational age at birth was significantly associated with more complications. Perioperative complications had no impact on overall outcome.
Pubmed
Web of science
Création de la notice
30/01/2020 16:17
Dernière modification de la notice
23/10/2020 6:23
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