Duct-to-duct biliary reconstruction for living donor liver transplantation: experience of 92 cases

Y Sugawara; K Sano; J Kaneko; N Akamatsu; Y Kishi; N Kokudo; M Makuuchi

doi:10.1016/j.transproceed.2003.10.046

Duct-to-duct biliary reconstruction for living donor liver transplantation: experience of 92 cases

Transplant Proc. 2003 Dec;35(8):2981-2. doi: 10.1016/j.transproceed.2003.10.046.

Authors

Y Sugawara¹, K Sano, J Kaneko, N Akamatsu, Y Kishi, N Kokudo, M Makuuchi

Affiliation

¹ Artificial Organ and Transplantation Division, Department of Surgery, Graduate School of Medicine, University of Tokyo, Tokyo, Japan. yasusuga-tky@umin.ac.jp

PMID: 14697955
DOI: 10.1016/j.transproceed.2003.10.046

Abstract

Bile duct-to duct reconstruction is now performed in living donor liver transplantation (LDLT) for adult patients. To confirm the feasibility, the results after the reconstruction were retrospectively analyzed. The subjects were 92 adult patients who underwent LDLT at the University of Tokyo Hospital. During the observation period (median 546 days), biliary complications were observed in 28 cases (30%). The complications included bile juice leakage in 11, stenosis at the anastomotic site in 9, and tube trouble in 8. Of these, 20 patients required surgical revision. The results suggest that duct-to-duct reconstruction provides satisfactory results, although long-term observation will be necessary.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Bile Ducts / surgery*
Blood Loss, Surgical
Graft Rejection / epidemiology
Humans
Liver Transplantation / methods*
Living Donors*
Plastic Surgery Procedures / methods*
Postoperative Complications / epidemiology
Retrospective Studies