Laparoscopic Kasai portoenterostomy for biliary atresia: first experience from Central Asia

LKPE is a feasible and effective surgical option for biliary atresia. Despite its advantages, including enhanced hilar visualization and faster recovery, the high incidence of postoperative cholangitis remains a major challenge that adversely affects native liver survival. Optimizing perioperative management, implementing prophylactic strategies against cholangitis, and expanding pediatric liver transplantation programs in resource-limited settings are essential to improving outcomes. Further prospective studies with long-term follow-up are needed to refine surgical techniques and optimize patient management.