Laparoscopic internal intestinal drainage of bile lakes in a patient with recurrence of jaundice after laparoscopic revision of Kasai portoenterostomy for biliary atresia: A case report

• DOI: 10.1111/ases.13133
• Publication Date: 2022-09-30T23:54:20Z
• Authors: Yousuke Gohda; Hiroo Uchida; Akinari Hinoki; Chiyoe Shirota; Wataru Sumida; Satoshi Makita; Masamune Okamoto; Seiya Ogata; Aitaro Takimoto; Shunya Takada; Yoichi Nakagawa; Daiki Kato; Yaohui Guo
• Keywords: Biliary Drainage

Bile lake, of the postoperative complications after Kasai portoenterostomy (PE) for biliary atresia, causes cholangitis that may induce progressive fibrosis liver. Standard treatment bile lakes has not yet been established, but there are reports surgical internal intestinal drainage effectively prevents and maintains jaundice-free status. In this case, insertion percutaneous transhepatic into lake allowed continuous large volumes juice. However, reoperation following laparotomy increases risk subsequent liver transplantation due to adhesion. Laparoscopic surgery was selected patient who likely require in future. laparoscopic performed safely by a Cavitron ultrasonic aspirator recurrence jaundice revision PE. Cholangitis were rapidly resolved procedure.