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

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dc.contributor.authorKırımlıoğlu, Vedat
dc.contributor.authorTatlı, Faik
dc.contributor.authorİnce, Volkan
dc.contributor.authorAydın, Cemalettin
dc.contributor.authorErsan, Veysel
dc.contributor.authorAra, Cengiz
dc.contributor.authorAladağ, Murat
dc.contributor.authorKutlu, Ramazan
dc.contributor.authorKırımlıoğlu, Hale
dc.contributor.authorYılmaz, Sezai
dc.date.accessioned2018-02-07T11:06:12Z
dc.date.available2018-02-07T11:06:12Z
dc.date.issued2011
dc.departmentİnönü Üniversitesien_US
dc.description.abstractABSTRACT 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%.en_US
dc.identifier.citationK. Vedat et al., “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, pp. 0–0, Apr. 2011.en_US
dc.identifier.endpage0en_US
dc.identifier.issue0en_US
dc.identifier.startpage0en_US
dc.identifier.urihttps://ac.els-cdn.com/S0041134510017318/1-s2.0-S0041134510017318-main.pdf?_tid=f837f38c-0bf5-11e8-b5ad-00000aab0f27&acdnat=1518001349_f234a666203605404d48905f04380e4e
dc.identifier.urihttps://hdl.handle.net/11616/8051
dc.identifier.volume0en_US
dc.language.isoenen_US
dc.publisherTransplant Proc, pp. 0–0, Apr. 2011.en_US
dc.relation.ispartofTransplant Proc, pp. 0–0, Apr. 2011.en_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.titleBiliary 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 techniqueen_US
dc.typeArticleen_US

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