Single-center experience and long-term outcomes of duct-to-duct biliary reconstruction in infantile living donor liver transplantation
| Autor: | Hiroko Suda, Yuki Ohya, Hidekazu Yamamoto, Shintaro Hayashida, Takayuki Takeichi, Kwang Jong Lee, Yukihiro Inomata, Masaki Honda, Katsuhiro Asonuma, Takahiro Murokawa |
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| Rok vydání: | 2014 |
| Předmět: |
Transplantation
medicine.medical_specialty Hepatology business.industry medicine.medical_treatment Follow up studies Small children Anastomosis Liver transplantation Single Center Surgery medicine.anatomical_structure Long term outcomes Medicine Living donor liver transplantation business Duct (anatomy) |
| Zdroj: | Liver Transplantation. 20:347-354 |
| ISSN: | 1527-6465 |
| DOI: | 10.1002/lt.23819 |
| Popis: | The indications for duct-to-duct (DD) biliary reconstruction in living donor liver transplantation (LDLT) for small children are still controversial. In this study, the feasibility of DD biliary reconstruction versus Roux-en-Y (RY) biliary reconstruction was investigated in terms of long-term outcomes. Fifty-six children who consecutively underwent LDLT with a weight less than or equal to 10.0 kg were enrolled. Biliary reconstruction was performed in a DD fashion for 20 patients and in an RY fashion for 36 patients. During a minimum follow-up of 2 years, the incidence of biliary strictures was 5.0% in the DD group and 11.1% in the RY group. Cholangitis during the posttransplant period was observed in the RY group only. There were no deaths related to biliary problems. This study shows that DD reconstruction in LDLT for small children (weighing 10.0 kg or less) is a feasible option for biliary reconstruction. |
| Databáze: | OpenAIRE |
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