A Simple Hilar Dissection Technique Preserving Maximum Blood Supply to the Bile Duct in Living Donor Liver Transplantation

Authors:
  • TFTakasuke Fukuhara
    Takasuke Fukuhara
  • KMKazutoyo Morita
    Kazutoyo Morita
  • TYTomoharu Yoshizumi
    Tomoharu Yoshizumi
  • TIToru Ikegami
    Toru Ikegami
  • YYYoichi Yamashita
    Yoichi Yamashita
  • KSKeishi Sugimachi
    Keishi Sugimachi
  • ATAkinobu Taketomi
    Akinobu Taketomi
  • YMYoshihiko Maehara
    Yoshihiko Maehara

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.

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