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Characteristics of biliary reconstruction, using a T-tube, as compared to those with other methods, in left-lobe adult living-donor liver transplantation

  • Published:
Journal of Hepato-Biliary-Pancreatic Surgery

Abstract

Background/Purpose

Postoperative biliary tract complications remain one of the most serious problems facing patients who undergo living-donor liver transplantation. The aim of this study was to analyze the clinical implications of three different methods of biliary reconstruction in left-lobe adult living-donor liver transplantation.

Methods

We retrospectively compared three groups of patients: those who had Roux-en-Y hepaticojejunostomy (HJ; n = 11) biliary reconstruction, those who had duct-to-duct hepaticohepaticostomy (HH) with external stent (n = 11), and those who had HH with a T-tube (n = 6). Median follow-up for each group was 31, 30, and 10 months, respectively.

Results

Bile leaks were observed in 45.5% of the patients in both the HJ group and the HH with external stent group. Biliary anastomotic strictures occurred in 9% of the Roux-en-Y HJ patients and in 27.2% of those who had HH with external stent. No biliary complications were observed in the HH with a T-tube group (P = 0.049).

Conclusions

Biliary reconstruction using HH with a T-tube may decrease the incidence of biliary complications. Despite the relatively short follow-up period, these encouraging preliminary results may warrant further studies of this biliary reconstruction technique in left-lobe adult living-donor liver transplantation.

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Authors and Affiliations

  1. Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences, 1-757 Asahimachi-dori, Niigata, 951-8510, Japan

    Takashi Kobayashi, Yoshinobu Sato, Satoshi Yamamoto, Toshiyuki Takeishi, Hiroshi Oya, Ken-ichiro Hirano, Hideki Nakatsuka, Takaoki Watanabe & Katsuyoshi Hatakeyama

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  1. Takashi Kobayashi
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  2. Yoshinobu Sato
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  3. Satoshi Yamamoto
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  4. Toshiyuki Takeishi
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  5. Hiroshi Oya
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  6. Ken-ichiro Hirano
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  7. Hideki Nakatsuka
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  8. Takaoki Watanabe
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  9. Katsuyoshi Hatakeyama
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Kobayashi, T., Sato, Y., Yamamoto, S. et al. Characteristics of biliary reconstruction, using a T-tube, as compared to those with other methods, in left-lobe adult living-donor liver transplantation. J Hepatobiliary Pancreat Surg 14, 177–182 (2007). https://doi.org/10.1007/s00534-006-1120-6

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  • DOI: https://doi.org/10.1007/s00534-006-1120-6

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