Hepatobiliary Latest Topicshttps://pediatricsurgeryclub.com/forum/245-hepatobiliary/Hepatobiliary Latest TopicsenIn Choledochal cystshttps://pediatricsurgeryclub.com/topic/3717-in-choledochal-cysts/

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]]>3717Fri, 15 Aug 2025 12:27:21 +0000Hepaticoduodenostomy vs hepaticojejunostomy after resection of choledochal cysthttps://pediatricsurgeryclub.com/topic/3716-hepaticoduodenostomy-vs-hepaticojejunostomy-after-resection-of-choledochal-cyst/

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]]>3716Fri, 15 Aug 2025 12:26:01 +0000During Choledochal cyst excision and reconstructionhttps://pediatricsurgeryclub.com/topic/3714-during-choledochal-cyst-excision-and-reconstruction/

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]]>3714Fri, 15 Aug 2025 12:23:06 +0000Alagille syndrome vs biliary atresiahttps://pediatricsurgeryclub.com/topic/3713-alagille-syndrome-vs-biliary-atresia/

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]]>3713Fri, 15 Aug 2025 12:22:15 +0000Prognostic factors in biliary atresiahttps://pediatricsurgeryclub.com/topic/3712-prognostic-factors-in-biliary-atresia/

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]]>3712Fri, 15 Aug 2025 12:21:28 +0000In treatment of Biliary atresiahttps://pediatricsurgeryclub.com/topic/3711-in-treatment-of-biliary-atresia/

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]]>3711Fri, 15 Aug 2025 12:20:39 +0000Biliary Atresia with Dr. Greg Tiaohttps://pediatricsurgeryclub.com/topic/3709-biliary-atresia-with-dr-greg-tiao/

video 1

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]]>3709Fri, 15 Aug 2025 12:18:14 +0000Regarding technique of lap kasai operationhttps://pediatricsurgeryclub.com/topic/3708-regarding-technique-of-lap-kasai-operation/

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]]>3708Fri, 15 Aug 2025 12:17:08 +0000Regarding Kasai portoenterostomy anastomosishttps://pediatricsurgeryclub.com/topic/3707-regarding-kasai-portoenterostomy-anastomosis/

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]]>3707Fri, 15 Aug 2025 12:16:00 +0000stool color cards for parents of biliary atresia patientshttps://pediatricsurgeryclub.com/topic/3706-stool-color-cards-for-parents-of-biliary-atresia-patients/

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]]>3706Fri, 15 Aug 2025 12:14:58 +0000<![CDATA[DD & management of neonatal jaundice]]>https://pediatricsurgeryclub.com/topic/3704-dd-management-of-neonatal-jaundice/

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]]>3704Fri, 15 Aug 2025 12:10:50 +0000beware of cystic biliary atresia Varianthttps://pediatricsurgeryclub.com/topic/3703-beware-of-cystic-biliary-atresia-variant/

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]]>3703Fri, 15 Aug 2025 12:09:51 +0000Coagulopathy in biliary atresia patientshttps://pediatricsurgeryclub.com/topic/3702-coagulopathy-in-biliary-atresia-patients/

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]]>3702Fri, 15 Aug 2025 12:09:01 +0000Early prediction of the need for liver transplantation in biliary atresia patientshttps://pediatricsurgeryclub.com/topic/3701-early-prediction-of-the-need-for-liver-transplantation-in-biliary-atresia-patients/

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]]>3701Fri, 15 Aug 2025 12:08:18 +0000Diagnosis of biliary atresiahttps://pediatricsurgeryclub.com/topic/3700-diagnosis-of-biliary-atresia/Quote from "The SAGES Manual of Pediatric Minimally Invasive Surgery" by Danielle S. Walsh, Todd A. Ponsky, Nicholas E. Bruns -

"The onset of jaundice may occur at birth or up to 6 weeks thereafter and is typically progressive and eventually accompanied by acholic stools and dark urine."


Quote from "The SAGES Manual of Pediatric Minimally Invasive Surgery" by Danielle S. Walsh, Todd A. Ponsky, Nicholas E. Bruns -

"Hepatic scintigraphy (HIDA scan) demonstrating relatively good hepatic uptake with the absence of excretion of technetium-labeled compounds from the liver into the duodenum is diagnostic of biliary obstruction, but may be less reliable in cases of severe jaundice. Prior to HIDA scan, patients are routinely pretreated with phenobarbital (5 mg/kg/day) for 5 days to increase biliary secretion by stimulating hepatic enzymes to minimize studies."


Quote from "The SAGES Manual of Pediatric Minimally Invasive Surgery" by Danielle S. Walsh, Todd A. Ponsky, Nicholas E. Bruns -

"biopsy of the liver is the most accurate diagnostic test, but also the most invasive, short of surgical exploration [23, 24]. Pathology characteristically reveals inflammation with ductular proliferation, with or without bile stasis, duct plugging, and giant cells. Indeterminate or false-negative results may reflect specimens acquired too early in the disease process to reflect the characteristic pathologic changes of duct proliferation."

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]]>3700Fri, 15 Aug 2025 12:07:30 +0000dissection margin in Kasai portoenterostomyhttps://pediatricsurgeryclub.com/topic/3699-dissection-margin-in-kasai-portoenterostomy/Quote from "The SAGES Manual of Pediatric Minimally Invasive Surgery" by Danielle S. Walsh, Todd A. Ponsky, Nicholas E. Bruns -

"The key of the procedure is dissection of the cone-shaped fibrous remnant at the level of the liver surface, just anterior to the portal vein bifurcation. For best long-term results, the bilious scar tissue must be removed directly on the liver surface without injuring the actual liver. The dissection must be carried as much lateral as possible with typical limitations of right and left portal venous and hepatic artery branches as well as below the portal vein bifurcation. The completely exposed liver surface at the porta hepatis is then covered by the Roux limb as a quasi-“sewer” to catch dripping bile from the area."

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]]>3699Fri, 15 Aug 2025 12:05:39 +0000During IOC for suspected Biliary atresiahttps://pediatricsurgeryclub.com/topic/3698-during-ioc-for-suspected-biliary-atresia/Quote from "The SAGES Manual of Pediatric Minimally Invasive Surgery" by Danielle S. Walsh, Todd A. Ponsky, Nicholas E. Bruns -

"Trendelenburg positioning may also augment contrast delivery to the intrahepatic bile ducts if initial images are equivocal, and administration of intravenous glucagon may improve drainage of contrast into the duodenum if such flow is not initially evident"

]]>3698Fri, 15 Aug 2025 12:03:43 +0000<![CDATA[Cholecystitis: Presentation, Workup, & Perioperative Considerations]]>https://pediatricsurgeryclub.com/topic/3696-cholecystitis-presentation-workup-perioperative-considerations/

video 1

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]]>3696Fri, 15 Aug 2025 11:59:48 +0000During Lap cholecystectomyhttps://pediatricsurgeryclub.com/topic/3695-during-lap-cholecystectomy/

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]]>3695Fri, 15 Aug 2025 11:58:44 +0000