Laparoscopic portoenterostomy versus open portoenterostomy for the treatment of biliary atresia: a systematic review and meta-analysis of comparative studies

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• 作者：Ma Lishuang (1)
  Chen Zhen (1) (2)
  Qiao Guoliang (1)
  Zhang Zhen (1)
  Wang Chen (1)
  Li Long (1)
  Liu Shuli (1)
  
  1. Department of Pediatric Surgery ; Capital Institute of Pediatrics ; Teaching hospital of Peking University ; Yabao Road2# ; Chaoyang ; Beijing ; 100021 ; People鈥檚 Republic of China
  2. Medical Department ; Peking University ; Beijing ; 100000 ; People鈥檚 Republic of China
  
• 关键词：Laparoscopic portoenterostomy ; Open portoenterostomy ; Biliary atresia ; Meta ; analysis
• 刊名：Pediatric Surgery International
• 出版年：2015
• 出版时间：March 2015
• 年：2015
• 卷：31
• 期：3
• 页码：261-269
• 全文大小：1,705 KB
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• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Pediatrics
  Surgery
  Pediatric Surgery
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1437-9813

文摘

Background Open portoenterostomy (OPE) remains the mainstay in treatment of biliary atresia, while during the past several years, the laparoscopic portoenterostomy (LPE) has been widely introduced. However, safety of LPE remains a major concern. Thus, we conducted a systematic review and meta-analysis to review the currently available data comparing LPE and OPE. Design Systematic review and meta-analysis. Data sources Medline, Ovid, Elsevier, Google Scholar Embase, Cohrane library. Study selection Comparative cohort studies. Data extraction Two investigators independently assessed selected studies and extracted the following information: study characteristics, quality, outcomes data, etc. Results Eleven studies about the effectiveness of LPE compared with OPE were performed by meta-analysis. Meta-analysis found no significant difference between the two groups in operative time, hospital stay, intraoperative blood loss, early clearance of jaundice, cholangitis and variceal bleeding. In addition, the rate of 2-year survival with native liver was significantly high in OPE group than in LPE group. Conclusion Laparoscopic portoenterostomy could not replace open portoenterostomy and open Kasai portoenterostomy remains the gold standard in the treatment of biliary atresia.