A simple hilar dissection technique preserving maximum blood supply to the bile duct in living donor liver transplantation.
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.
Soejima
Yuji
Y
Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. ysoejima@surg2.med.kyushu-u.ac.jp
Fukuhara
Takasuke
T
Morita
Kazutoyo
K
Yoshizumi
Tomoharu
T
Ikegami
Toru
T
Yamashita
Yoichi
Y
Sugimachi
Keishi
K
Taketomi
Akinobu
A
Maehara
Yoshihiko
Y
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