title: Magnetic Compression Duct-to-duct Anastomosis for Biliary Obstruction in a Patient with Living Donor Liver Transplantation.
abstract: Magnetic compression anastomosis (MCA) is a minimally invasive method of performing choledochocholedochostomy without surgery in patients with biliary stricture or obstruction. We describe a successful case involving magnetic compression duct-to-duct biliary reconstruction in right-lobe living donor liver transplantation (RL-LDLT). Endoscopically, a samarium-cobalt (Sm-Co) rare-earth magnet was placed at the superior site of obstruction via the percutaneous transhepatic biliary drainage route, and another Sm-Co magnet was also placed at the inferior site of obstruction with the aid of an endoscope. MCA techniques enabled complete anastomosis without procedure-related complications. In conclusion, the MCA technique is a revolutionary method of performing choledochocholedochostomy in patients with biliary obstruction after LDLT.
authors.affiliation: Departments of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan.
authors.forename: Takao
authors.initials: T
authors.lastname: Itoi
authors.forename: Eigoro
authors.initials: E
authors.lastname: Yamanouchi
authors.forename: Nobuhito
authors.initials: N
authors.lastname: Ikeuchi
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Kasuya
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Iwamoto
authors.forename: Akihiko
authors.initials: A
authors.lastname: Tsuchida