Adelman S
J Pediatr Surg. 1978 Aug;13(4):389-91. doi: 10.1016/s0022-3468(78)80462-x.
In order to provide a baseline for comparison with the results of the Kasai hepatic portoenterostomy, follow-up information was obtained for 89 infants who underwent surgical exploration alone for biliary atresia from 1956 through 1975. Of these patients, one is apparently cured, one is alive with liver failure, three are lost to follow-up and 84 are dead. The rate of apparent cure among patients with follow-up was 1.1%. The average age at death was 12 mo, the mean 10 mo. During this same period, nine patients were operated upon for neonatal biliary obstructions other than biliary atresia, and five are apparently cured. Reported apparent cure rates after the Kasai procedure or one of its variations, while not good, still compare favorably with the cure rate of unoperated patients.
为了提供一个与葛西肝门空肠吻合术结果进行比较的基线，我们获取了1956年至1975年间仅接受手术探查治疗胆道闭锁的89例婴儿的随访信息。在这些患者中，1例明显治愈，1例存活但有肝功能衰竭，3例失访，84例死亡。随访患者中的明显治愈率为1.1%。平均死亡年龄为12个月，中位数为10个月。在同一时期，9例因非胆道闭锁的新生儿胆道梗阻接受手术，其中5例明显治愈。报道的葛西手术或其变体之一后的明显治愈率虽然不高，但仍优于未手术患者的治愈率。
