This work was presented at a plenary oral session during the 18th Annual International Congress of the International Liver Transplantation Society (San Francisco, CA, May 16-19, 2012).
Early and Long-Term Results of Routine Microsurgical Biliary Reconstruction in Living Donor Liver Transplantation
Article first published online: 12 FEB 2013
Copyright © 2012 American Association for the Study of Liver Diseases
Volume 19, Issue 2, pages 207–214, February 2013
How to Cite
Lin, T.-S., Chen, C.-L., Concejero, A. M., Yap, A. Q., Lin, Y.-H., Liu, C.-Y., Chiang, Y.-C., Wang, C.-C., Wang, S.-H., Lin, C.-C., Yong, C.-C. and Cheng, Y.-F. (2013), Early and Long-Term Results of Routine Microsurgical Biliary Reconstruction in Living Donor Liver Transplantation. Liver Transpl, 19: 207–214. doi: 10.1002/lt.23582
- Issue published online: 12 FEB 2013
- Article first published online: 12 FEB 2013
- Accepted manuscript online: 29 NOV 2012 01:31PM EST
- Manuscript Accepted: 8 NOV 2012
- Manuscript Received: 6 JUL 2012
We describe our early and long-term experience with routine biliary reconstruction via a microsurgical technique in living donor liver transplantation (LDLT). One hundred seventy-seven grafts (including 3 dual grafts) were primarily transplanted into 174 recipients. The minimum follow-up was 44 months. Biliary reconstructions were based on biliary anatomical variations in graft and recipient ducts. The recipient demographics, graft characteristics, types of biliary reconstruction, biliary complications (BCs), and outcomes were evaluated. There were 130 right lobe grafts and 47 left lobe grafts. There were single ducts in 71.8%, 2 ducts in 26.0%, and 3 ducts in 2.3% of the grafts. The complications were not significantly related to the size and number of ducts, the discrepancy between recipient and donor ducts, the recipient age, the ischemia time, or the type of graft. The overall BC rate was 9.6%. The majority of the complications occurred within the first year, and only 1 patient developed a stricture at 20 months. No new complications were noted after 2 years. When the learning-curve phase of the first 15 cases was excluded, the overall BC rate was 6.79%, and the rate of complications requiring interventions was 2.5%. In conclusion, the routine use of microsurgical biliary reconstruction decreases the number of early and long-term anastomotic BCs in LDLT. Liver Transpl 19:207-214, 2013. © 2012 AASLD.