The role of liver transplantation as a primary procedure in biliary atresia has been argued over for at least 40 years, indeed since the coming of age of safe liver transplantation during the 1980s. Yet, it is not a common option in most series (usually ≤5%) and typically reserved for those with late presentations (arguably >100 days) with established cirrhosis.

中文翻译：

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胆道闭锁的原发性肝移植：支持与反对的理由

肝移植作为胆道闭锁主要手术的作用已经争论了至少 40 年，实际上是从 20 世纪 80 年代安全肝移植时代到来以来。然而，它在大多数系列中并不是常见的选择（通常≤5%），并且通常保留给那些晚期就诊（可以说> 100天）且已确诊肝硬化的患者。