Abstract

Objective: To evaluate the results of the improved hepatic portoenterostomy surgery without exteriorizing the liver for the treatment of congenital biliary atresia at Hue Central Hospital.

Methods: A prospective descriptive study was conducted on 63 patients with type III congenital biliary atresia who underwent hepatic portoenterostomy (hepatic portoenterostomy - jejunum) from January 2019 to December 2024. Clinical and paraclinical data, as well as postoperative outcomes at 3 months and 6 months, were collected and analyzed using SPSS 20.0 software.

Results: The mean age at the time of surgery was 71.9 ± 16.3 days. Postoperatively, 64.5% of patients showed improvement, with 22.6% achieving complete resolution of jaundice after 6 months. No complications such as anastomotic leakage or bleeding occurred. The mortality rate in the first month was 1.6%. The results indicated that patients who underwent surgery earlier (<60 days) tended to recover better, though the difference was not statistically significant. The modified surgery helped reduce inflammation and adhesions, lowered the risk of complications, and facilitated future liver transplantation if necessary.

Conclusion: Hepatic portoenterostomy without exteriorizing the liver is a safe and effective method, yielding results comparable to the classic technique in biliary drainage. Additionally, it may improve the conditions for liver transplantation if required in the future.