Biliary reconstruction using non‐penetrating, tissue everting clips versus conventional sewn biliary anastomosis in liver transplantation
Abstract
Liver transplantation remains a complex procedure with potential for significant patient morbidity, not only in the perioperative period, but also over the life of the graft. Biliary complications occur in 10–30% of recipients after liver transplantation 1 x [1] Wise, P.E. and Pinson, C.W. Biliary complications of liver transplantation. in: Clavien P.A., Baillie J. (Eds.) Diseases of the gallbladder and bile ducts: diagnosis and treatment. Blackwell Science, ; 2001: 245–257 Google Scholar See all References , 2 x [2] Fleck, A., Zanotelli, M.L., Meine, M., Brandao, A., Leipnitz, I., Schlindwein, E. et al. Biliary tract complications after orthotopic liver transplantation in adult patients. Transplant Proc. 2002; 34: 519–520 Abstract | Full Text | Full Text PDF | PubMed | Scopus (18) | Google Scholar See all References , 3 x [3] Krawczyk, M., Nyckowski, P., Zieniewicz, K., Pawlak, J., Michalowicz, B., Malkowski, P. et al. Biliary complications following liver transplantation. Transplant Proc. 2000; 32: 1429–1431 Abstract | Full Text | Full Text PDF | PubMed | Scopus (11) | Google Scholar See all References , 4 x [4] Hernandez, Q., Ramirez, P., Munitiz, V., Pinero, A., Robles, R., Sanchez‐Bueno, F. et al. Incidence and management of biliary tract complications following 300 consecutive orthotopic liver transplants. Transplant Proc. 1999; 31: 2407–2408 Abstract | Full Text | Full Text PDF | PubMed | Scopus (27) | Google Scholar See all References . Prevention of biliary complications has focused on efforts to diminish tissue ischemia. Techniques such as the cholecystocholedochostomy, side‐to‐side choledochocholedochostomy popularized by Neuhaus 5 x [5] Neuhaus, P., Blumhardt, G., Bechstein, W.O., Steffen, R., Platz, K.P., and Keck, H. Technique and results of biliary reconstruction using side‐to‐side choledochocholedochostomy in 300 orthotopic liver transplants. Ann Surg. 1994; 219: 426–434 Crossref | PubMed | Scopus (158) | Google Scholar See all References , and end‐to‐end choledochocholedochostomy with shortened ducts have been used to ameliorate the risk of biliary ischemia and resultant complications such as leak or stricture.Keywords
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