caa a22 4500 465772773 CHVBK 20180323111933.0 cr unu---uuuuu 170327e19900201xx s 000 0 eng 10.1007/BF00178220 doi (NATIONALLICENCE)springer-10.1007/BF00178220 Indications for the Kasai operation: experience with 103 Suruga II modifications [Elektronische Daten] [Takeshi Miyano, Toshiki Ohya, Koichiro Kimura, Hiroshi Shimomura, Atsuyuki Yamataka, Keijiro Suruga] 103 patients with biliary atresia were treated by the Suruga II operation. A close correlation was found between degree of liver fibrosis, the size of the ductuli and prognosis. Thus, it is often possible to predict the prognosis at the initial operation by evaluating frozen sections. In group I (large ductuli, mild fibrosis) a Kasai operation or a modification is recommended. For group II (smaller ductuli, moderate fibrosis) the necessity of liver transplantation is increased. Kasai operation without stoma is the appropriate procedure. For group III (small ductuli, marked fibrosis), Kasai operation should be avoided, but liver transplantation has to be considered. Springer-Verlag, 1990 Biliary atresia nationallicence Suruga II operation nationallicence Hepatic portoenterostomy (Kasai operation) nationallicence Liver transplantation nationallicence Miyano Takeshi Department of Pediatric Surgery, Juntendo University School of Medicine, 2-1-1, Bunkyo-ku, Hongo, 113, Tokyo aut Ohya Toshiki Department of Pediatric Surgery, Juntendo University School of Medicine, 2-1-1, Bunkyo-ku, Hongo, 113, Tokyo aut Kimura Koichiro Department of Pediatric Surgery, Juntendo University School of Medicine, 2-1-1, Bunkyo-ku, Hongo, 113, Tokyo aut Shimomura Hiroshi Department of Pediatric Surgery, Juntendo University School of Medicine, 2-1-1, Bunkyo-ku, Hongo, 113, Tokyo aut Yamataka Atsuyuki Department of Pediatric Surgery, Juntendo University School of Medicine, 2-1-1, Bunkyo-ku, Hongo, 113, Tokyo aut Suruga Keijiro Katsunan Municipal Hospital, 2-1-1, Bunkyo-ku, Hongo, 113, Tokyo aut Pediatric Surgery International Springer-Verlag 5/2(1990-02-01), 82-86 0179-0358 5:2<82 1990 5 383 https://doi.org/10.1007/BF00178220 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00178220 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Miyano Takeshi Department of Pediatric Surgery, Juntendo University School of Medicine, 2-1-1, Bunkyo-ku, Hongo, 113, Tokyo aut NATIONALLICENCE 700 1- Ohya Toshiki Department of Pediatric Surgery, Juntendo University School of Medicine, 2-1-1, Bunkyo-ku, Hongo, 113, Tokyo aut NATIONALLICENCE 700 1- Kimura Koichiro Department of Pediatric Surgery, Juntendo University School of Medicine, 2-1-1, Bunkyo-ku, Hongo, 113, Tokyo aut NATIONALLICENCE 700 1- Shimomura Hiroshi Department of Pediatric Surgery, Juntendo University School of Medicine, 2-1-1, Bunkyo-ku, Hongo, 113, Tokyo aut NATIONALLICENCE 700 1- Yamataka Atsuyuki Department of Pediatric Surgery, Juntendo University School of Medicine, 2-1-1, Bunkyo-ku, Hongo, 113, Tokyo aut NATIONALLICENCE 700 1- Suruga Keijiro Katsunan Municipal Hospital, 2-1-1, Bunkyo-ku, Hongo, 113, Tokyo aut NATIONALLICENCE 773 0- Pediatric Surgery International Springer-Verlag 5/2(1990-02-01), 82-86 0179-0358 5:2<82 1990 5 383 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer