Association between Kasai portoenterostomy at low caseload centres and transplant complications in children with biliary atresia
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In brief
In brief
This retrospective study examines how the surgical volume of centers performing Kasai portoenterostomy affects subsequent liver transplant complications in children with biliary atresia. The research compares outcomes between high-volume centers (≥5 procedures/year) and low-volume centers to inform referral patterns and surgical planning.
Written by the GCMD Library team from the article.
Background: Kasai portoenterostomy (KPE) is the preferred treatment for biliary atresia (BA) patients. It has been shown that the centre caseload of KPE impacts on native liver survival. We aimed to define the impact of KPE caseload on complications at the time of liver transplantation (LT).
Methods: Retrospective data collection of LT for BA performed in our tertiary centre between 2010-2018. The patients were grouped according to the caseload of the centre that performed KPE: Group A (≥5 KPE/year) and Group B (