Kasai Roux-En-Y Porto-enterostomy for Biliary Atresia (Open)

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specialty:
Pediatric Surgery

Case description

This is a surgical demonstration video of Kasai Roux-En-Y Porto-enterostomy for Biliary Atresia done in a 75 days old male child.
This a long video. For the sake of convenience wee have included chapter markers. Viewers can jump to a particular step if they want to. Look for markers in description and in the video scroll bar.
0:00 Incision to partial liver evisceration
02:03 Preliminary dissection at porta
05:21 Tying of lower end of atretic duct
09:05 Taking down atretic GB
12:52 Dissecting the triangular fibrotic cone of atretic ducts
15:41 Dissecting along PV arch
18:16 Dividing tissue at porta
20:39 Preparing Roux limb
21:16 Start of Porto-Enterostomy anastomosis
32:10 Closure of mesenteric defects
32:58 Jejuno-jejunostomy
34:12 Liver biopsy
35:56 Drain placement

tags: Kasai Roux-en-y porto-enterostomy biliary atresia Jaundice


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