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Biliary Complications Following Adult Right Lobe Ex Vivo Split Liver Transplantation by Maciej Wojcicki; Michael A. Silva; Paras Jethwa; Bridget Gunson; Simon R. Bramhall; David Mayer; John A.C. Buckels; Darius F. Mirza is a Medicine article available to read on EtoBox.

What is Biliary Complications Following Adult Right Lobe Ex Vivo Split Liver Transplantation about?

Biliary complications are common following split liver transplantation (SLT). We analyzed the incidence, treatment, and outcome of biliary complications following adult right lobe ex vivo SLT performed between November 1992 and January 2005. There were 72 patients, of which 70 were analyzed. Early postoperative deaths resulted in 2 being excluded from the analysis. There were 44 males (median age, 48 yr; range, 19-70 yr). Biliary reconstruction was by duct-to-duct (DD) anastomosis in 52 (74%) and Roux-en-Y hepaticojejunostomy (RYHJ) in 18 (26%) patients. Until mid-2001, no T-tube was used for DD anastomosis (DD/non-T-tube) in 26 (37%) patients; subsequent to this, DD over a T-tube (DD/T-tube) was performed in 26 (37%) patients. Eighteen (26%) biliary complications occurred in 16 patients. Two anastomotic leaks of RYHJ were associated with hepatic artery thrombosis. The most frequent biliary complication was parenchymal radical leak from the transected liver surface (11%; 8/70), with anastomotic leaks in 6% (4/70) and strictures in 4% (3/70). There were also 2 cases of biliary leaks from T-tube exit site following T-tube removal, and 1 leak from the donor cystic duct stump. DD anast

Who reads Biliary Complications Following Adult Right Lobe Ex Vivo Split Liver Transplantation?

Author

Maciej Wojcicki; Michael A. Silva; Paras Jethwa; Bridget Gunson; Simon R. Bramhall; David Mayer; John A.C. Buckels; Darius F. Mirza

Publisher

Ovid Technologies (Wolters Kluwer Health)

Published

2006

Language

EN

Field

Medicine (Health Sciences)