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Operation Procedure: Deceased Donor Liver Transplantation for Biliary Atresia

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Abstract

Biliary atresia (BA) is a progressive cholestatic disease that accounts for nearly 50% of patients referred for liver transplants [1]. Kasai portoenterostomy is the first-line standard treatment for BA and recommended to be performed within 60 days of birth to manage jaundice. However, even if yellowish stool can be eliminated, and a complete correction of the serum bilirubin level to below the normal range can be achieved, then up to half of all BA patients cannot make it through adolescence with their native liver and ultimately require liver transplantation (LT) [2, 3]. Complications of cirrhosis, including portal hypertension, ascites, variceal bleeding, and acute-on-chronic liver failure, are indications for LT [3, 4]. The extrahepatic complications associated with this disease, such as hepatopulmonary syndrome and portopulmonary hypertension, are also indications for LT [4].

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Abbreviations

BA: biliary atresia:

LT: liver transplantation

SLT: split liver transplantation

DBD: donation after brain death

DCD: donation after cardiac death

DDLT: deceased donor liver transplantation

IVC: inferior vena cava

LLS: left lateral segment

ERL: extended right lobe

LL: left lobe

RL: right lobe

LDLT: living donor liver transplantation

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Correspondence to Yoshiyuki Ihara .

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Ihara, Y., Mizuta, K. (2021). Operation Procedure: Deceased Donor Liver Transplantation for Biliary Atresia. In: Nio, M. (eds) Introduction to Biliary Atresia. Springer, Singapore. https://doi.org/10.1007/978-981-16-2160-4_25

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  • DOI: https://doi.org/10.1007/978-981-16-2160-4_25

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