"Results of Multiple Biliary Ducts Anastomosis in  Living Donor Liver Transplantation"

Muhammad, Zafar Mengal

doi:10.19080/argh.2016.02.555581

Cited by 1 publication

(2 citation statements)

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“…Biliary complications continue to plague LDLT as major causes of morbidity, with variable reports of incidence in literature ranging from 0.4% to 67% [3]. In addition to delaying recovery, biliary complications can significantly impact post-transplant quality of life and possibly reduce allograft survival [4].…”

Section: Discussionmentioning

confidence: 99%

“…In addition, recipients requiring three biliary anastomoses (because of three or more ducts on the graft) were more likely to undergo a cystic duct biliary reconstruction over HJ in our study (28.9% vs. 19.5%). Muhammad et al [3] have conceded that multiple ducts have the same complication rate as single ducts in LDLT. More recently, Kollmann et al [19] and Arikan et al [20] have concluded that the number of biliary ducts and the type of anastomoses could not alter the outcome in LDLT.…”

Section: Discussionmentioning

confidence: 99%

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Cystic duct anastomosis can be a viable option for biliary reconstruction in case of multiple ducts in right lobe living-donor liver transplantation

Vijayashanker

Chikkala

Ghimire

et al. 2021

Ann Hepatobiliary Pancreat Surg

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Backgrounds/Aims: Multiple ducts in right lobe living-donor liver transplant (LDLT) pose a technical challenge in biliary reconstruction. In the absence of separate recipient hepatic ducts for duct-to-duct anastomoses and certain demerits of hepaticojejunostomy, duct to duct anastomoses with the recipient cystic duct might be a possible solution. Methods: A total of 329 recipients of LDLT who underwent two or more separate biliary anastomoses at our centre between January 2014 and November 2019 were studied retrospectively. Records of demographic data, donor and graft characteristics, operative details, postoperative biochemical parameters, and biliary complications were analysed. Results: Of 329 recipients, 236 patients (71.7%) underwent purely duct-to-duct (DD group) anastomoses, 38 patients (11.5%) underwent at least one anastomosis with the cystic duct (CD group), and 55 patients (16.7%) underwent at least one hepaticojejunostomy (HJ group). At one year, biliary complication rates of these three groups were 20.3%, 26.3%, and 20.0%, respectively (p = 0.68). Postoperative intensive care unit and overall hospital stay were similar among the three groups. Grades IIIa, IIIb, IV, and V Clavien-Dindo complications were identical. One-year patient survival and graft survival were also similar among the three groups. Conclusions: Biliary outcomes using the cystic duct may have acceptable outcomes. Similar postoperative results as other means of biliary reconstruction could be anticipated with the cystic duct anastomoses in case of multiple ducts in the graft.

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Section: Discussionmentioning

confidence: 99%