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Dynamic analysis of serum MMP-7 and its relationship with disease progression in biliary atresia: a multicenter prospective study
PurposeWe aimed to assess the dynamic changing trend of serum matrix metalloproteinase-7 (MMP-7) in biliary atresia (BA) patients from diagnosis to...
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How many cases do instructor class pediatric surgeons need to experience to be an independent operator in performing advanced endoscopic surgery? A nationwide survey to establish an ideal curriculum for pediatric endoscopic surgery in Japan
PurposeTo ensure the safe spread of pediatric endoscopic surgery, it is essential to build a training curriculum, and a survey of the current...
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The favorable prognosis of cystic biliary atresia may be related to early surgery and mild liver pathological changes
ObjectiveThe objectives of this study is to compare the prognostic differences between cystic biliary atresia (CBA) and non-CBA, analyze the clinical...
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The safe introduction of robotic surgery in a free-standing children’s hospital
The aim of this study is to report the experience of implementing a pediatric robotic surgery program at a free-standing pediatric teaching hospital....
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Significant neonatal intraoperative cerebral and renal oxygen desaturation identified with near-infrared spectroscopy
IntroductionNear-infrared spectroscopy (NIRS) was used to monitor intraoperative regional oxygen saturation (rSO 2 ) during open (Op) and minimally...
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Investigation into multi-centre diagnosis and treatment strategies of biliary atresia in mainland China
BackgroundBiliary atresia (BA) is an obstructive hepatobiliary disease which manifests during infancy. Kasai portoenterostomy (KPE) is the preferred...
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Intraoperative hepatic subcapsular spider-like telangiectasia sign for the definitive diagnosis of biliary atresia
ObjectiveTo evaluate the accuracy of intraoperative hepatic subcapsular spider-like telangiectasia (HSST) sign for differentiating biliary atresia...
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Findings in percutaneous trans-hepatic cholecysto-cholangiography in neonates and infants presenting with conjugated hyperbilirubinemia: emphasis on differential diagnosis and cholangiographic patterns
BackgroundBiliary atresia (BA) is one of the causes of conjugated hyperbilirubinemia in infants which if untreated leads to end-stage liver disease...
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Protocol for enhanced recovery after surgery with 3D laparoscopic excision for choledochal cysts can benefit the recovery process
ObjectiveTo explore the clinical value of enhanced recovery after surgery (ERAS) with laparoscopic choledochal cyst (CDC) excision in children.
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The difference of gut microbiome in different biliary diseases in infant before operation and the changes after operation
BackgroundEvidence supports an association between cholestatic liver disease and changes in microbiome composition. Nevertheless, the identification...
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Iatrogenic Complex Hilar Biliary Strictures: Management Strategies and Long-term Outcome
Management of patients with benign biliary strictures (BBS) involving the hepatic hilar confluence needs a focused strategy for preoperative,...
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Surgical modifications, additions, and alternatives to Kasai hepato-portoenterostomy to improve the outcome in biliary atresia
Kasai hepato-portoenterostomy (HPE) is the most widely used surgical technique to restore bile flow in biliary atresia (BA). We aimed to review...
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Accurate prediction of biliary atresia with an integrated model using MMP-7 levels and bile acids
BackgroundBiliary atresia (BA) is a rare fatal liver disease in children, and the aim of this study was to develop a method to diagnose BA early.
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Laparoscopic portoenterostomy for biliary atresia: single-center experience and review of literatures
AimThe aim of this report was to present the laparoscopic portoenterostomy (LapPE) procedure developed by the Department of Pediatric General and...
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Gallenwegschirurgie im Kindesalter
In contrast to gallstones, which are increasingly diagnosed in children and adolescents, congenital or perinatally acquired malformations of the...
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The Burden of Disease and Pathology at a Rapidly Expanding Tertiary Paediatric Surgical Unit in South Africa
BackgroundThe precise burden of paediatric surgical care in South Africa is unknown. In the absence of epidemiological data, hospital-based study is...
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Evaluation of a new robotic-assisted laparoscopic surgical system for procedures in small cavities
No data exists concerning the application of a new robotic system with 3-mm instruments (Senhance™, Transenterix, Milano, Italy) in small cavities....
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Perioperative Developments in Biliary Atresia Treatment
Purpose of ReviewThis paper presents an overview of the current developments in the perioperative biliary atresia (BA) treatment.
Recent Findings ... -
Liver Biopsy in Children
Liver biopsy is the cornerstone of medical decision-making for a wide range of hepatic diseases in children. The indications for liver biopsy vary...