Biliary atresia:how to choose between sequential treatment and primary liver transplantation
Whether or not hepatoportoenterostomy(HPE)should be performed on all children of biliary atresia(BA)and whether HPE has some adverse effect on sequential liver transplantation(SLT)are thought-provoking.With the development of living donor liver transplantation,distinguishing BA patients benefiting from primary liver transplantation(PLT)has remained a great challenge for pediatric surgeons.Literature review was conducted with regards to long-term survival of native liver after HPE,impact of HPE on SLT and preoperative indicators for evaluating the prognosis of patients.
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