title: A simple hilar dissection technique preserving maximum blood supply to the bile duct in living donor liver transplantation.
abstract: Duct-to-duct reconstruction is associated with a higher incidence in biliary strictures in living donor liver transplantation (LDLT). However, a standard dissection technique for the recipient's bile duct has not been established. Here, we describe a simple bile duct dissection technique preserving maximum vascular integrity during total hepatectomy of the recipient. The present technique might facilitate duct-to-duct bile duct reconstruction in both right and left lobe LDLT and, thus, contribute to reduce biliary complications such as biliary strictures. We believe that this technique can be a standard in the field of LDLT.
authors.affiliation: Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. ysoejima@surg2.med.kyushu-u.ac.jp
authors.forename: Yuji
authors.initials: Y
authors.lastname: Soejima
authors.forename: Takasuke
authors.initials: T
authors.lastname: Fukuhara
authors.forename: Kazutoyo
authors.initials: K
authors.lastname: Morita
authors.forename: Tomoharu
authors.initials: T
authors.lastname: Yoshizumi
authors.forename: Toru
authors.initials: T
authors.lastname: Ikegami
authors.forename: Yoichi
authors.initials: Y
authors.lastname: Yamashita
authors.forename: Keishi
authors.initials: K
authors.lastname: Sugimachi
authors.forename: Akinobu
authors.initials: A
authors.lastname: Taketomi
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Maehara
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D001652:Bile Ducts / Q000098:blood supply* / Q000601:surgery*; D001662:Biliary Tract Surgical Procedures / Q000379:methods*; D003135:Common Bile Duct / Q000601:surgery; D004210:Dissection / Q000379:methods; D007839:Functional Laterality; D006499:Hepatic Artery / Q000601:surgery; D006801:Humans; D016031:Liver Transplantation / Q000379:methods*; D019520:Living Donors; D011169:Portal Vein / Q000601:surgery