CC BY 4.0 · European J Pediatr Surg Rep. 2021; 09(01): e5-e8
DOI: 10.1055/s-0040-1721466
Case Report

Advantage of Using 8K Ultra-High-Definition Television System for Kasai Portoenterostomy for Biliary Atresia

Hisayuki Miyagi
1  Division of Pediatric Surgery, Department of Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan
,
1  Division of Pediatric Surgery, Department of Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan
,
Masatoshi Hirasawa
1  Division of Pediatric Surgery, Department of Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan
,
Tatsuya Shonaka
2  Division of Gastrointestinal Surgery, Department of Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan
,
Yasuo Sumi
2  Division of Gastrointestinal Surgery, Department of Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan
,
Nobuyoshi Azuma
3  Department of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan
› Author Affiliations
Funding None.

Abstract

Kasai portoenterostomy (KPE) is currently the first-line treatment for biliary atresia. Many pediatric surgeons have reported that the dissection of the fibrous remnant at the porta hepatis is one of the most important components of this procedure. Furthermore, laparoscopic portoenterostomy is being increasingly used to treat biliary atresia.

An advantage of laparoscopic surgery is that surgeons can more easily identify microbiliary ducts, owing to the magnification. We report the case of a 61-day-old girl on whom we performed an exploratory laparotomy and diagnosed type III biliary atresia using intraoperative cholangiography. For the first time, we performed an open KPE using an 8K ultra-high-definition television system. This allowed us to clearly view the porta hepatis and to successfully perform the portoenterostomy.

Ethics Approval

This study was approved by the Asahikawa Medical University Research Ethics Committee (registration number: 20035), and written informed consent was obtained from the parents of the patient for publication of this case report and any accompanying images. A copy of the consent document is available for review by the Editor-in-Chief of this journal on request.




Publication History

Received: 30 July 2020

Accepted: 09 October 2020

Publication Date:
27 January 2021 (online)

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany