A simple hilar dissection technique preserving maximum blood supply to the bile duct in living donor liver transplantation

Transplantation. 2008 Nov 27;86(10):1468-9. doi: 10.1097/TP.0b013e318188d4dc.

Abstract

Duct-to-duct reconstruction is associated with a higher incidence in biliary strictures in living donor liver transplantation (LDLT). However, a standard dissection technique for the recipient's bile duct has not been established. Here, we describe a simple bile duct dissection technique preserving maximum vascular integrity during total hepatectomy of the recipient. The present technique might facilitate duct-to-duct bile duct reconstruction in both right and left lobe LDLT and, thus, contribute to reduce biliary complications such as biliary strictures. We believe that this technique can be a standard in the field of LDLT.

MeSH terms

  • Anastomosis, Surgical / methods
  • Bile Ducts / blood supply*
  • Bile Ducts / surgery*
  • Biliary Tract Surgical Procedures / methods*
  • Common Bile Duct / surgery
  • Dissection / methods
  • Functional Laterality
  • Hepatic Artery / surgery
  • Humans
  • Liver Transplantation / methods*
  • Living Donors*
  • Portal Vein / surgery