title: Preliminary experience for reducing biliary complication in adult-to-adult living donor liver transplantation using right lobe graft.
abstract: OBJECTIVE
  To report the author's preliminary experience with adult-to-adult living donor liver transplantation (LDLT) using right lobe liver grafts.
  
  
  METHODS
  From January 2002 to July 2006, 50 adult patients underwent LDLT using right lobe grafts at West China Hospital, Sichuan University Medical School, China. At present, 24 recipients have been followed up for over nine months.
  
  
  RESULTS
  There were no deaths amongst the donors. Biliary reconstruction for 35 hepatic duct orifices from 24 donor grafts was performed, which included 19 reconstructions of duct-to-duct anastomoses and 16 cholangio-jejunostomy. Two recipients had biliary complications including one bile leakage and one slight biliary stricture.
  
  
  CONCLUSIONS
  With the improved methods for biliary reconstruction, we achieved good results in 24 recipients of adult-to-adult LDLT. We consider that microsurgical technique and fixed operator could decrease the biliary complications of LDLT.
authors.affiliation: Liver Transplantation Division, Department of Surgery, West China Hospital, Sichuan University Medical School, Chengdu, China.
authors.forename: Lunan
authors.initials: L
authors.lastname: Yan
authors.forename: Bo
authors.initials: B
authors.lastname: Li
authors.forename: Yong
authors.initials: Y
authors.lastname: Zeng
authors.forename: Tianfu
authors.initials: T
authors.lastname: Wen
authors.forename: Jichun
authors.initials: J
authors.lastname: Zhao
authors.forename: Wentao
authors.initials: W
authors.lastname: Wang
authors.forename: Jiayin
authors.initials: J
authors.lastname: Yang
authors.forename: Mingqing
authors.initials: M
authors.lastname: Xu
authors.forename: Yukui
authors.initials: Y
authors.lastname: Ma
authors.forename: Zheyu
authors.initials: Z
authors.lastname: Chen
authors.forename: Jiangwen
authors.initials: J
authors.lastname: Liu
authors.forename: Hong
authors.initials: H
authors.lastname: Wu