Reconstruction of two bile ducts in a cloaca fashion in living donor liver transplantation.
The presence of two or more hepatic ducts for biliary anastomosis in adult-to-adult right liver transplantation is not uncommon. In the case described here, the graft had two hepatic ducts: one corresponded anatomically to a normal right hepatic duct and the other ran parallel to the proper hepatic duct and drained into its distal to the cystic duct. Because of the small diameter of both duct orifices and the favorable length of the ducts, a cloaca type reconstruction was performed. This allowed the construction of a single and larger orifice for the biliary anastomosis. In case of multiple hepatic ducts of smaller caliber, this technique represents a practical and effective hepatoplasty allowing a single larger anastomosis in the recipient.
Porubsky
Marian
M
Department of Surgery, Division of Transplantation University of Illinois at Chicago, Chicago, Illinois 60612, USA.
Benedetti
Enrico
E
Gangemi
Antonio
A
Sankary
Howard
H
Marinov
Marin
M
Oberholzer
Jose
J
Testa
Giuliano
G
D000714:Anastomosis, Surgical / Q000379:methods; D001652:Bile Ducts / Q000601:surgery*; D005260:Female; D006801:Humans; D016031:Liver Transplantation / Q000379:methods*; D019520:Living Donors; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods