{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T12:48:25Z","timestamp":1763642905851,"version":"3.37.3"},"reference-count":34,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Pediatr Surg"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003Age of patient and experience of biliary atresia (BA) center are well-known factors associated with early jaundice clearance (EJC) after Kasai portoenterostomy (KPE) in infants with BA. This study focused on the impact of age and surgeon factor on the short-term outcome after KPE within a single center.<\/jats:p><jats:p>\n          Materials and Methods\u2003Fifty-four consecutive infants (18 boys and 36 girls) who underwent KPE from January 2010 to January 2020 were reviewed. KPE was performed in the earliest available operative session once the initial work-up was completed. In group A (n\u2009=\u200941), KPE was performed by surgeon A. In group B (n\u2009=\u200913), KPE was performed by specialists under the supervision of surgeon B (who is the mentor of surgeon A) when surgeon A was not available for operation. The demographics of patients, the EJC (total bilirubin &lt;20\u2009\u03bcmol\/L within 6 months of KPE), and 2-year native liver survival (NLS) between the two groups were studied.<\/jats:p><jats:p>\n          Results\u2003The median age at operation was 52 days (range 26\u2013135 days). The overall EJC rate and 2-year NLS were 85.2 and 89.4%, respectively. Group A (p\u2009=\u20090.015) and male gender (p\u2009=\u20090.029) were statistically associated with EJC but not the age at operation (p\u2009=\u20090.101). Group A was also statistically associated with superior 2-year NLS (p\u2009=\u20090.047).<\/jats:p><jats:p>\n          Conclusion\u2003Balancing between the impact of age at operation and the experience of surgeon on the outcome after KPE, our result suggested that KPE may be deferred until a more experienced surgeon to operate.<\/jats:p>","DOI":"10.1055\/s-0040-1713934","type":"journal-article","created":{"date-parts":[[2020,7,6]],"date-time":"2020-07-06T23:07:17Z","timestamp":1594076837000},"page":"335-340","source":"Crossref","is-referenced-by-count":3,"title":["Impact of Age of Patient and Experience of Surgeon on the Outcome after Kasai Portoenterostomy: Can We Delay the Surgery?"],"prefix":"10.1055","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0556-8231","authenticated-orcid":false,"given":"Kin Wai Edwin","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Surgery, The Chinese University of Hong Kong, New Territories, Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kim Hung","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Surgery, The Chinese University of Hong Kong, New Territories, Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hei Yi Vicky","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Surgery, The Chinese University of Hong Kong, New Territories, Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Siu Yan Bess","family":"Tsui","sequence":"additional","affiliation":[{"name":"Department of Surgery, The Chinese University of Hong Kong, New Territories, Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer Wai Cheung","family":"Mou","sequence":"additional","affiliation":[{"name":"Department of Surgery, The Chinese University of Hong Kong, New Territories, Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuk Him","family":"Tam","sequence":"additional","affiliation":[{"name":"Department of Surgery, The Chinese University of Hong Kong, New Territories, Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,7,6]]},"reference":[{"issue":"11","key":"ref1","doi-asserted-by":"crossref","first-page":"388","DOI":"10.1542\/pir.25-11-388","article-title":"Neonatal cholestasis","volume":"25","author":"F J Suchy","year":"2004","journal-title":"Pediatr Rev"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"1704","DOI":"10.1016\/S0140-6736(09)60946-6","article-title":"Biliary atresia","volume":"374","author":"J L Hartley","year":"2009","journal-title":"Lancet"},{"key":"ref3","first-page":"7","article-title":"A new operation for \u201cnon-correctable\u201d biliary atresia: hepatic portoenterostomy","volume":"13","author":"M 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