Laparoscopic Versus Conventional Kasai Portoenterostomy

Dear Editor:

The recent publication on laparoscopic versus conventional Kasai portoenterostomy ¹ is very interesting. In this report, Oetzmann von Sochaczewski et al. ¹ concluded that “prevention of adhesion formation and facilitating subsequent liver transplantation are not rationales for laparoscopic Kasai portoenterostomy.” This conclusion is quite interesting. However, one might raise a concern about the small sample size in this report. The authors would like to share observation from a larger study. Of interest is the similar finding of no significant difference observed in postoperative outcome from classical and endoscopic approaches. ² The main determination of the outcome should be the underlying pathology rather than the surgical manipulation.