Yilmaz, SezaiAkbulut, SamiUsta, SertacOzsay, OguzhanSahin, Tevfik TolgaSarici, Kemal BarisKarabulut, Ertugrul2024-08-042024-08-0420210934-08741432-2277https://doi.org/10.1111/tri.14104https://hdl.handle.net/11616/100226This study aimed to demonstrate the efficacy of our diagnostic and therapeutic management algorithm and catheter-assisted (percutaneous transhepatic biliary tract drainage [PTBD] or transanastomotic feeding tube) hepaticojejunostomy (HJ) procedures in living liver donors (LLDs) with biliary complications. Living donor hepatectomy (LDH) was performed between September 2005 and April 2021 in 2 489 LLDs. Biliary complications developed in 220 LLDs (8.8%), 136 of which were male, and the median age was 29 (interquartile range [IQR]: 12) years. Endoscopic sphincterotomy +/- stenting was performed in 132 LLDs, which was unsuccessful in 9 LLDs and required HJ. Overall, 142 LLDs underwent interventional radiologic procedures. Fifteen LLDs with biliary complications underwent HJ (PTBD catheter = 6 and transanastomotic feeding tube = 9) at a median of 44 days (IQR: 82). Following HJ, 14 LLDs did not have any complications throughout the median follow-up period of 1619 days (IQR: 1454). However, percutaneous dilation for HJ anastomotic stricture was performed in one patient. Biliary complications are very common following LDH; therefore, surgeons in the field should have a low threshold to perform HJ for biliary complications that persist after other treatments. Our catheter-assisted HJ techniques demonstrated a high success rate and aided HJ in a hostile abdomen during revisional surgery.eninfo:eu-repo/semantics/openAccessbiliary complicationshepaticojejunostomyliving donor hepatectomyliving donor liver transplantationpercutaneous transhepatic biliary tract drainageArticle3411222622373451056610.1111/tri.141042-s2.0-85115831991Q2WOS:000700843200001Q1