Biliary complications in 106 consecutive duct to duct biliary reconstruction in right lobe living donor liver transplantation performed in 1 year in a single center a new surgical technique
Yükleniyor...
Dosyalar
Tarih
2011
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Transplant Proc.
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Objective. Biliary complications remain a major source of morbidity after living donor
liver transplantation (LDLT). Of 109 consecutive right lobe (RL)-LDLTs performed in 1
year in our institution, we present the biliary complications among 106 patients who
underwent a new duct-to-duct anastomosis technique known as University of Inonu.
Methods. Of 153 liver transplantations performed in 1 year from January to December
of 2008, 128 were LDLTs including 109 RL-LDLTs. The others were left or left lateral
grafts. All RL-LDLT patients were adults, all of whom except three included a duct-toduct
anastomosis.
Results. All, but three, biliary reconstructions were completed with a surgical technique,
so called UI, in which 6-0 prolene sutures were used. Nine bile leaks were seen in 106
recipients (8.49%) performed in a duct-to-duct fashion in a time period of 1 to 4 weeks.
Seventeen patients (16.03%) posed bile duct stricture (BDS). Five patients had both.
Although endoscopic stent placement and percutaneous balloon dilatation, 4 patients
continued to suffer from BDS on whom a permanent access hepatico-jejunostomy (PAHJ)
procedures were performed.
Conclusion. We recommend a duct-to-duct biliary reconstruction because of its de facto
advantages over other types of anastomosis provided the native duct is not diseased. After
almost 2 years, the bile tract complication rate was 22.64%.
Açıklama
Anahtar Kelimeler
Kaynak
Transplant Proc.
WoS Q Değeri
Scopus Q Değeri
Cilt
43
Sayı
Künye
Kırımlıoğlu, V.Tatlı, F. İnce, V. Aydın, C. Ersan, V. Ara, C. Aladağ, M. Kutlu, R. Kırımlıoğlu, S. H. Yılmaz, S. (2011). Biliary complications in 106 consecutive duct to duct biliary reconstruction in right lobe living donor liver transplantation performed in 1 year in a single center a new surgical technique. Transplant Proc. 43, 917–920.
