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Langenbeck's Archives of Surgery

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01-11-2009 | Original article

Management of biliary complications following living donor liver transplantation—a single center experience

Authors: Sven Kohler, Andreas Pascher, Jens Mittler, Ulf Neumann, Peter Neuhaus, Johann Pratschke

Published in: Langenbeck's Archives of Surgery | Issue 6/2009

Abstract

Purpose

Biliary complications (BC) after living donor liver transplantation (LDLT) are reported in up to 32%. We retrospectively reviewed the biliary reconstruction after 95 LDLT.

Methods

Eighty-one right hemiliver grafts and 14 left lateral section grafts were transplanted. Bile duct anastomoses were performed as duct-to-duct (DD) or bilioenteric anastomosis (RYHJ); multiple bile ducts were anastomosed using a ductoplasty or multiple direct bile duct anastomoses.

Results

After right hemiliver LDLT, a total of 45.5% of BC was observed, with an incidence of 27.7% in case of DD anastomosis and 18.8% in case of RYHJ. After DD anastomosis, strictures were successfully treated endoscopically in 50%; insufficiencies mainly required reoperations.

Conclusion

BC still account for a high percentage of morbidity and mortality after LDLT. DD anastomoses are performed more frequently and are feasible in cases with simple biliary anatomy; RYHJ is the gold standard for the reconstruction of multiple bile ducts.

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Title: Management of biliary complications following living donor liver transplantation—a single center experience
Authors: Sven Kohler
Andreas Pascher
Jens Mittler
Ulf Neumann
Peter Neuhaus
Johann Pratschke
Publication date: 01-11-2009
Publisher: Springer-Verlag
Published in: Langenbeck's Archives of Surgery / Issue 6/2009
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-009-0506-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Management of biliary complications following living donor liver transplantation—a single center experience

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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