Routine microsurgical biliary reconstruction decreases early anastomotic complications in living donor liver transplantation

Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society
Tsan-Shiun LinYu-Fan Cheng

Abstract

Biliary reconstruction using a microsurgical technique in living donor liver transplantation was routinely performed on 88 grafts primarily transplanted into 85 patients. All procedures were performed under a microscope by a single microsurgeon. Except for biliary atresia and Alagille syndrome, duct-to-duct reconstruction was performed. Stents were not used. The outcomes with microsurgical biliary reconstruction (MB) were compared with the outcomes of a cohort of 86 grafts in 85 patients that underwent conventional biliary reconstruction (CB). The identification of complications included only up to 12 months of follow-up for each recipient in both groups. The average graft duct sizes were 2.8 mm for MB and 3.4 mm for CB. Most complications occurred in the first 15 cases with MB, and these cases were considered to constitute the learning curve phase. The MB complication rate was 46.7% in the first 15 cases, 20.0% in the next 15 cases, and 5.4% in the last 55 cases. When the learning curve phase was excluded, the overall complication rate over time with MB (8.9%) was significantly lower than that with CB (21.9%). CB increased the risk of biliary complications by 2.5 times (relative risk: 2.5; attributable risk: 128; odds ratio: 2...Continue Reading

References

Feb 1, 1997·Transplantation Proceedings·D C CroninJ M Millis
Aug 1, 1997·Seminars in Oncology Nursing·J P Nelson
Dec 10, 1998·Transplantation·M E WachsI Kam
Oct 9, 1999·Transplantation·A MarcosM P Posner
Jan 29, 2000·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·A Marcos
Jul 26, 2000·Transplantation·C L ChenH K Cheung
Sep 15, 2000·Annals of Plastic Surgery·T S Lin, Y C Chiang
Jan 11, 2001·Transplantation·V H de VillaH K Cheung
Jun 13, 2001·Journal of the American College of Surgeons·M H Shokouh-AmiriA O Gaber
Oct 13, 2001·World Journal of Surgery·H EgawaK Tanaka
May 1, 2002·Transplantation·Yasuhiko SugawaraTadatoshi Takayama
Aug 2, 2003·Annals of Surgery·Vanessa H de VillaHock-Liew Eng
Jun 30, 2004·Transplantation·Gabriel E GondolesiCharles Miller
Sep 28, 2004·Transplantation·Ender DulunduMasatoshi Makuuchi
May 25, 2006·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Salleh IbrahimYu-Fan Cheng
May 25, 2006·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Yuji SoejimaYoshihiko Maehara
Aug 31, 2006·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·C-L ChenH-L Eng

❮ Previous
Next ❯

Citations

Oct 9, 2013·Nature Reviews. Gastroenterology & Hepatology·Chao-Long ChenAllan M Concejero
Apr 23, 2011·Transplantation·Hsien-Wen HsuYu-Fan Cheng
May 16, 2013·World Journal of Gastroenterology : WJG·Victor TorresLaura Rosenkranz
Oct 22, 2014·Expert Review of Gastroenterology & Hepatology·Balázs NemesAttila Doros
Sep 22, 2015·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Vivek VijPuneet Dargan
Apr 5, 2011·Hepatobiliary & Pancreatic Diseases International : HBPD INT·Xiao-Ning FengShu-Sen Zheng
Mar 5, 2016·Hepatology International·Kenneth S H Chok, Chung Mau Lo
Dec 1, 2012·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Tsan-Shiun LinYu-Fan Cheng
Dec 15, 2010·Transplant International : Official Journal of the European Society for Organ Transplantation·Nobuhisa AkamatsuDaijo Hashimoto
Jul 16, 2011·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Shao Fa WangXiao Ping Chen
Apr 11, 2013·Journal of Hepato-biliary-pancreatic Sciences·Chao-Long ChenChee-Chien Yong
Jun 10, 2014·Journal of Gastroenterology and Hepatology·Kenneth S H Chok, Chung Mau Lo
Feb 6, 2017·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Ashwin RammohanMohamed Rela
Jul 19, 2018·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Choon Hyuck David KwonJae-Won Joh
Dec 18, 2015·World Journal of Gastroenterology : WJG·Jen-Shyang LinWai-Tao Chan
May 9, 2014·Current Opinion in Organ Transplantation·Gi-Won Song, Sung-Gyu Lee
Apr 9, 2016·World Journal of Hepatology·Manav Wadhawan, Ajay Kumar
Jul 25, 2015·World Journal of Hepatology·Priya SimoesJawad Ahmad
Jan 29, 2016·World Journal of Gastroenterology : WJG·Jae Hyuck ChangSok Won Han
Jul 27, 2017·Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology·Ayman Zaki Azzam, Koichi Tanaka
Apr 5, 2019·Journal of Clinical and Translational Hepatology·Brian T Moy, John W Birk
Sep 4, 2015·World Journal of Hepatology·Flavia H FeierPaulo Chapchap
May 11, 2020·International Journal of Surgery·Dong-Hwan JungPrashant Bhangui
May 18, 2021·Transplantation Proceedings·Koichi KimuraYoshihiko Maehara

❮ Previous
Next ❯

Related Concepts

Related Feeds

Alagille Syndrome

Alagille syndrome is a multi-system genetic disorder that can affect the liver, heart, and other parts of the body. It’s characterization includes heart problems, liver damage, jaundice, and xanthomas. Here is the latest research.

Related Papers

American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons
S A ShahMark S Cattral
Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society
Seong Hoon KimSang-Jae Park
Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society
Tsan-Shiun LinYu-Fan Cheng
© 2022 Meta ULC. All rights reserved