title: Salvage cystic duct anastomosis using a magnetic compression technique for incomplete bile duct reconstruction in living donor liver transplantation.
abstract: In living donor liver transplantation (LDLT), bile duct reconstruction is often technically demanding due to the frequently anomalous anatomy of the bile duct, as well as the high incidence of biliary complications. A bile duct branch may also be accidentally left without anastomosis at the time of LDLT and found to be obstructed after surgery. Surgical revision for such cases is sometimes not feasible because of the invasiveness of the procedure. We report a case in which a bile duct branch was intentionally left without anastomosis and was later successfully anastomosed to the cystic duct stump using a magnetic compression anastomosis (MCA) technique. A combination of the MCA technique and cystic duct anastomosis is life-saving in certain situations and should be considered as the treatment of choice.
authors.affiliation: Department of Surgery, Osaka University Graduate School of Medicine, Suita City, Osaka, Japan. smarubashi@gesurg.med.osaka-u.ac.jp
authors.forename: Shigeru
authors.initials: S
authors.lastname: Marubashi
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Nagano
authors.forename: Eigoro
authors.initials: E
authors.lastname: Yamanouchi
authors.forename: Shogo
authors.initials: S
authors.lastname: Kobayashi
authors.forename: Hidetoshi
authors.initials: H
authors.lastname: Eguchi
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Takeda
authors.forename: Masahiro
authors.initials: M
authors.lastname: Tanemura
authors.forename: Noboru
authors.initials: N
authors.lastname: Maeda
authors.forename: Kaname
authors.initials: K
authors.lastname: Tomoda
authors.forename: Hayato
authors.initials: H
authors.lastname: Hikita
authors.forename: Shusaku
authors.initials: S
authors.lastname: Tsutsui
authors.forename: Yuichiro
authors.initials: Y
authors.lastname: Doki
authors.forename: Masaki
authors.initials: M
authors.lastname: Mori
mesh_terms: D000714:Anastomosis, Surgical; D001652:Bile Ducts / Q000601:surgery*; D006801:Humans; D016031:Liver Transplantation; D019520:Living Donors; D008280:Magnetics; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D016879:Salvage Therapy