{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:02:15Z","timestamp":1777921335982,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2019,4,1]],"date-time":"2019-04-01T00:00:00Z","timestamp":1554076800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2019,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Extrahepatic congenital portosystemic shunts (CPSSs) can be occluded by surgical or endovascular approaches. However, when the estimated portal vein (PV) pressure after the closure is high enough to induce symptoms associated with portal hypertension, partial closure is recommended to avoid life-threatening events. In this study, we attempted laparoscopic partial closure of a CPSS in two patients. Along with intraoperative real-time measuring of the PV pressure and angiography, laparoscopic partial closure was performed to achieve a PV pressure of \u226425\u2009mmHg. Subsequently, the intrahepatic portal system grew in both patients. The partially ligated CPSS closed spontaneously in the first patient. In the second patient, laparoscopic complete closure was performed for the residual CPSS 6 months after the first operation. To our knowledge, this is the first report of laparoscopic partial closure for CPSS. Minimally invasive laparoscopic partial ligation of CPSS is technically feasible and useful when the estimated PV pressure is too high to tolerate one-step complete closure.<\/jats:p>","DOI":"10.1089\/lap.2018.0581","type":"journal-article","created":{"date-parts":[[2019,1,7]],"date-time":"2019-01-07T15:21:34Z","timestamp":1546874494000},"page":"573-578","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Laparoscopic Partial Closure for Congenital Portosystemic Shunt\u2013Indications, Postoperative Management, and Subsequent Complete Closure"],"prefix":"10.1177","volume":"29","author":[{"given":"Teizaburo","family":"Mori","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, Keio University School of Medicine, Tokyo, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yohei","family":"Yamada","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Keio University School of Medicine, Tokyo, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kiyotomo","family":"Abe","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Keio University School of Medicine, Tokyo, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nobuhiro","family":"Takahashi","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Keio University School of Medicine, Tokyo, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Motohiro","family":"Kano","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Keio University School of Medicine, Tokyo, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takumi","family":"Fujimura","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Keio University School of Medicine, Tokyo, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshihiko","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Tokai University School of Medicine, Kanagawa, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seishi","family":"Nakatsuka","sequence":"additional","affiliation":[{"name":"Department of Radiology, Keio University School of Medicine, Tokyo, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ken","family":"Hoshino","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Keio University School of Medicine, Tokyo, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tatsuo","family":"Kuroda","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Keio University School of Medicine, Tokyo, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,4,10]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s004310050698"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(99)70031-4"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/ca.20574"},{"key":"e_1_3_2_5_2","first-page":"100","article-title":"Account of Two Instances of Uncommon Formation in the Viscera of the Human Body: From the Philosophical Transactions of the Royal Society of London","volume":"7","author":"Abernethy J","year":"1797","unstructured":"Abernethy J. Account of Two Instances of Uncommon Formation in the Viscera of the Human Body: From the Philosophical Transactions of the Royal Society of London. Med Facts Obs, 1797; 7:100\u2013108.","journal-title":"Med Facts Obs"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0b013e31828b3750"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-015-2623-4"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0b013e3181d9cb92"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2010.01.038"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(99)90785-6"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0032-1329896"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000000266"},{"key":"e_1_3_2_13_2","first-page":"1281","article-title":"Catheter interventional treatment of congenital portosystemic venous shunts in childhood","volume":"87","author":"Knirsch W","year":"2016","unstructured":"Knirsch W, , Benz DC, , Buhr P, et al. Catheter interventional treatment of congenital portosystemic venous shunts in childhood. Catheter Cardiovasc Interv, 2016; 87:1281\u20131292.","journal-title":"Catheter Cardiovasc Interv"},{"key":"e_1_3_2_14_2","first-page":"51","article-title":"Surgery for Ligation of Shunt Vessel for Congenital Portosystemic Shunt","volume":"51","author":"Takama Y","year":"2015","unstructured":"Takama Y, , Ueno T, , Ibuka S, et al. Surgery for Ligation of Shunt Vessel for Congenital Portosystemic Shunt. J Jpn Soc Pediatr Surg, 2015; 51:51\u201357.","journal-title":"J Jpn Soc Pediatr Surg"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-010-2662-x"},{"key":"e_1_3_2_16_2","first-page":"39","article-title":"A case with development of extrahepatic portosystemic shunt after surgical ligation of patent ductus venosus","volume":"29","author":"Yamamoto A","year":"2013","unstructured":"Yamamoto A, , Tanami Y, , Shinmoto H. A case with development of extrahepatic portosystemic shunt after surgical ligation of patent ductus venosus. J Jpn Soc Pediatr Radiol, 2013; 29:39\u201343.","journal-title":"J Jpn Soc Pediatr Radiol"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2015.01.009"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/00129689-200410000-00012"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1053\/jpsu.2000.0350657"}],"container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/lap.2018.0581","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2018.0581","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2018.0581","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:52:00Z","timestamp":1777665120000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/lap.2018.0581"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4,1]]},"references-count":18,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2019,4,1]]}},"alternative-id":["10.1089\/lap.2018.0581"],"URL":"https:\/\/doi.org\/10.1089\/lap.2018.0581","relation":{},"ISSN":["1092-6429","1557-9034"],"issn-type":[{"value":"1092-6429","type":"print"},{"value":"1557-9034","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,4,1]]}}}