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.
Keywords
biliary atresia - 8K ultra-high-definition television system - Kasai portoenterostomy
- Kasai procedure
