Delayed bile leakage from a remaining part of segment 8 in a posterior section graft after living donor liver transplantation: a common pitfall in harvesting a posterior section graft? A case report.
In Japan and Korea, where availability of deceased donor organs for solid organ transplantation remains rare, living donor liver transplantation (LDLT) using a posterior section graft (PSG; segments VI+VII, according to Couinaud's Nomenclature for liver segmentation) has now been accepted as a standard procedure that balances donor risk and patient benefits for cases in which right hemi-liver donation is too risky, because of marked volume imbalances between right and left hemi-livers. Compared with other types of grafts, however, the procedure requires detailed knowledge concerning hepatic vascular anatomy and meticulous manipulation during donation surgery. We present herein a case of delayed bile leakage from a remaining part of segment 8 in a PSG, which was considered to be a complication peculiar to LDLT using a PSG.
Morioka
D
D
Department of Gastroenterological Surgery, Yokohama City University Graduate School of Medicine, Yokohama, Japan. dmorioka@hotmail.com
Tanaka
K
K
Takeda
K
K
Matsuo
K
K
Kimura
J
J
Yahagi
S
S
Endo
I
I
Sekido
H
H
Togo
S
S
Shimada
H
H
D001646:Bile / Q000378:metabolism*; D005260:Female; D006498:Hepatectomy; D006505:Hepatitis / Q000601:surgery*; D006801:Humans; D017093:Liver Failure / Q000209:etiology / Q000601:surgery*; D016031:Liver Transplantation / Q000009:adverse effects* / Q000379:methods* / Q000473:pathology; D019520:Living Donors; D008875:Middle Aged; D009929:Organ Size; D011183:Postoperative Complications / Q000503:physiopathology; D020858:Tissue and Organ Harvesting / Q000379:methods; D014057:Tomography, X-Ray Computed