A secured technique for bile duct division during living donor right hepatectomy

Biliary Complications After Liver Transplantation: Old Problems and New Challenges

“…Moreover, the blood supply of the donor as well as the recipient bile duct is critical. Many technical refinements of the donor (93)(94)(95) as well as the recipient operation (96)(97)(98) are aiming at an optimal blood supply of the anastomotic region. In general, during the donor operation the arterial branches to the right respectively left hepatic duct are preserved by sparse dissection of the hepatic artery and especially by avoidance of dissection between the hilar plate and the artery to minimize injury to the communicating artery and the peribiliary plexus (5).…”

Intraoperative Real-Time Cholangiography and C-tube Drainage in Donor Hepatectomy Reduce Biliary Tract Complications

“…We found that the number of bile duct anastomoses decreased because of a double ligation and IORTC, which is similar to a previous report. 9 However, IORTC cases had more left graft types than cases without IORTC. This may affect the number of bile duct anastomoses because the distance between the first and second branches of the left hepatic duct is longer than that of the right hepatic duct.…”

“…Moreover, Takatsuki et al introduced the new technique of division of the hepatic duct to reduce the number of bile duct anastomoses and biliary complications in 2006. 9 This technique using a C-arm is similar to our procedure.…”

A 7-cm Upper Midline Incision for Living Donor Left Lateral Hepatectomy

“…Intraoperative cholangiography is then performed by means of a catheter placed in the cystic duct. C-arm fluoroscopy is adapted during the procedure to enable us to check the optimal cutting point of the bile duct for all donors to prevent biliary complication (5). The skin was closed with subepidermal suture.…”