CẮT XƠ RỐN GAN RỘNG RÃI TRONG PHẪU THUẬT KASAI ĐIỀU TRỊ TEO ĐƯỜNG MẬT BẨM SINH

Abstract

Aim: To evaluate the results of extended Kasai portoenterostomy for biliary atresia at the National Children's Hospital in the period 2016-2020. Subjects and methods: A retrospective descriptive study of 172 patients diagnosed with biliary atresia, treated with extended Kasai portoenterostomy at the National Children's Hospital since January 2016 to December 2020. The study criteria included detailed surgical evaluation, postoperative complications, mortality and some related factors. Results: The average operative time was 152.1±28.9 minutes. The average postoperative hospital stay was 11.4 ± 2.69 days. Good results evaluated at time of discharge accounted for 77.3%, average results accounted for 22.1%. Common complications include biliary tract infections, postoperative liver failure, electrolyte disorder. At the end of the study, 57.6% of patients had normal restoration of bile flow. 23 patients died with a mean follow-up time of 13.9 ± 13.6 months. Operative age, pre-operative total bilirubin are related to outcome as well as survival rate after surgery. The link between PELD index and APRi at the time before and after 6 months of surgery with survival rate was statistically significant with p<0.05. Conclusion: Extended Kasai portoenterostomy for biliary atresia resulted in high rates of normal restoration of bile flow after surgery.