Extended right hepatectomy as graft-saving option in non-anastomotic biliary strictures after liver transplantation.
We present a case of non-anastomotic biliary strictures, mainly and initially localized in the right hemiliver and subsequently extending to the IV segment, in a 65-year-old male who had undergone liver transplantation because of hepatitis B virus-related cirrhosis. After the failure of endoscopic and percutaneous interventions, the patient was successfully treated by means of extended right hepatectomy up to 70% of graft volume. The surgical technique of liver graft resection is discussed. The authors recommend hepatic resection as a graft-saving option in selected patients affected by non-anastomotic biliary strictures in order to rescue the graft and avoid retransplantation.
Filipponi
Franco
F
General Surgery and Transplantation Unit, Department of Oncology, Transplantation and Advanced Technologies in Medicine, University of Pisa, Italy. f.filipponi@patchir.med.unipi.it
Vistoli
Fabio
F
Urbani
Lucio
L
Mosca
Franco
F
D000368:Aged; D002780:Cholestasis, Intrahepatic / Q000175:diagnosis / Q000601:surgery*; D006085:Graft Survival; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D016031:Liver Transplantation; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery*