Laparoscopic versus open portoenterostomy for treatment of biliary atresia: a meta-analysis

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dc.authorid0000-0002-6720-1515en_US
dc.authorid0000-0002-6978-7222en_US
dc.authorid0000-0002-4360-6892en_US
dc.authorid0000-0002-7715-3545en_US
dc.contributor.authorOkur, Mehmet Hanifi
dc.contributor.authorAydoǧdu, Bahattin
dc.contributor.authorAzizoǧlu, Mustafa
dc.contributor.authorBilici, Salim
dc.contributor.authorBayram, Salih
dc.contributor.authorSalık, Fikret
dc.date.accessioned2023-10-06T07:04:28Z
dc.date.available2023-10-06T07:04:28Z
dc.date.issued2023en_US
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Çocuk Cerrahisi Ana Bilim Dalıen_US
dc.description.abstractObjective: Our goal was to compare laparoscopic portoenterostomy versus open portoenterostomy for the treatment of biliary atresia. Materials and methods: Using the databases EMBASE, PubMed, and Cochrane, we carried out a thorough literature search up to 2022. Studies comparing laparoscopic and open surgery for the treatment of biliary atresia were included. Results: Twenty-three studies comparing laparoscopic portoenterostomy (LPE) (n = 689) and open portoenterostomy (OPE) (n = 818) were considered appropriate for meta-analysis. Age at surgery time was lower in the LPE group than OPE group (I2 = 84%), (WMD − 4.70, 95% CI − 9.14 to − 0.26; P = 0.04). Significantly decreased blood loss (I2 = 94%), (WMD − 17.85, 95% CI − 23.67 to − 12.02; P < 0.00001) and time to feed were found in the laparoscopic group (I2 = 97%), (WMD − 2.88, 95% CI − 4.71 to − 1.04; P = 0.002). Significantly decreased operative time was found in the open group (I2 = 85%), (WMD 32.52, 95% CI 15.65–49.39; P = 0.0002). Weight, transfusion rate, overall complication rate, cholangitis, time to drain removal, length of stay, jaundice clearance, and two-year transplant-free survival were not significantly different across the groups. Conclusions: Laparoscopic portoenterostomy provides advantages regarding operative bleeding and the time to begin feeding. No differences in remain characteristics. Based on the data presented to us by this meta-analysis, LPE is not superior to OPE in terms of overall results.en_US
dc.identifier.citationOkur, M. H., Aydoğdu, B., Azizoğlu, M., Bilici, S., Bayram, S. ve Salık, F. (2023). Laparoscopic versus open portoenterostomy for treatment of biliary atresia: a meta‑analysis. Pediatric Surgery International, 39(1), 148.en_US
dc.identifier.doi10.1007/s00383-023-05436-8
dc.identifier.endpage10en_US
dc.identifier.issn0179-0358
dc.identifier.issue1en_US
dc.identifier.pmid36881201
dc.identifier.scopus2-s2.0-85149503894
dc.identifier.scopusqualityQ2
dc.identifier.startpage1en_US
dc.identifier.urihttps://link.springer.com/article/10.1007/s00383-023-05436-8
dc.identifier.urihttps://hdl.handle.net/11468/12765
dc.identifier.volume39en_US
dc.identifier.wosWOS:000945380400001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorOkur, Mehmet Hanifi
dc.institutionauthorAydoğdu, Bahattin
dc.institutionauthorAzizoğlu, Mustafa
dc.institutionauthorSalık, Fikret
dc.language.isoenen_US
dc.publisherSpringer Science and Business Mediaen_US
dc.relation.ispartofPediatric Surgery International
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectBiliary atresiaen_US
dc.subjectKasai portoenterostomyen_US
dc.subjectLaparoscopyen_US
dc.subjectOpenen_US
dc.titleLaparoscopic versus open portoenterostomy for treatment of biliary atresia: a meta-analysisen_US
dc.titleLaparoscopic versus open portoenterostomy for treatment of biliary atresia: a meta-analysis
dc.typeArticleen_US

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