Initial experience of single-incision laparoscopic hepaticojejunostomy using conventional instruments for correctable...

Area of Science:

• Minimally invasive surgery
• Pediatric surgery
• Hepatobiliary surgery

Background:

• Single-incision laparoscopic surgery (SILS) aims to reduce surgical trauma.
• SILS has not been previously reported for correctable biliary atresia (BA).

Purpose of the Study:

• To present the initial experience of single-incision laparoscopic hepaticojejunostomy (SILH) for correctable BA.
• To evaluate the safety and efficacy of SILH in treating correctable BA.

Main Methods:

• Retrospective review of 4 patients with correctable BA (Type I/II) who underwent SILH.
• Evaluation of perioperative data including operative time, hospital stay, and complications.
• Postoperative monitoring included ultrasonography, contrast studies, and blood tests.

Main Results:

• Median age at operation was 21 days, with a median operative time of 2 hours.
• Minimal blood loss and no mortality or surgical complications were observed.
• Jaundice gradually resolved within 3-6 days post-operation.

Conclusions:

• Single-incision laparoscopic hepaticojejunostomy (SILH) is a safe and effective treatment for correctable biliary atresia (BA).
• This minimally invasive approach can be successfully performed by experienced surgeons.