W Technique for Biliary Anastomosis in Liver Transplantation

Wiederkehr, Julio Cesar; Wiederkehr, Henrique de Aguiar; Erbano, Bruna Olandoski; Wiederkehr, B.A.; Carvalho, Caroline Aragão de

doi:10.4172/2167-0889.1000172

Cited by 2 publications

(1 citation statement)

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“…In the past several years, Orthotopic Liver Transplantation (OLT) techniques have been greatly improved, dramatically reducing OLT mortality rates. However, biliary anastomosis still remains the "Achilles' heel of OLT", being responsible for the majority of OLT surgical complications [2].…”

Section: Introductionmentioning

confidence: 99%

Untitled

2016

ARGH

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Aim: To evaluate the results of multiple bile ducts anastomosis in living-donor liver transplantation.Background: Biliary anastomosis is crucial in living donor liver transplantation to ensure physiologic bilioenteric continuity. Presence of multiple ducts in the graft is challenging in living donor transplantation era. Biliary strictures and bile leaks account for the majority of biliary complications after living donor liver transplantation. Patients and Methods:The study was conducted in Liver Transplant Center, Chang Gung Memorial Hospital, Kaohsiung, Taiwan, during the period from March 2006 to June 2015. It included all patients who underwent living donor liver transplant and followed up regularly. The data was collected in predesigned Performa and managed statistically. P value < 0.01 was considered statistically significant.Results: A Total of 964 (61.6% right graft, and 38.4% left graft) biliary reconstructions were performed in living donor liver transplant recipients (75.7% Single duct, and 24.3% multiple ducts). Post-transplant biliary complications were observed in 8.5% of patients in form of bile leak and biliary stricture in 3.2% and 5.3%, respectively. The difference when compared between the groups of single duct versus multiple ducts reconstruction it was statistically not significant, p > 0.01. Conclusion:In living donor liver transplant, use of multiple as well as single duct reconstruction has almost same incidence of complications, so any of these methods can be used according to presence of ducts in the graft in living donor liver transplantation.

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Section: Introductionmentioning

confidence: 99%