Feasibility of duct-to-duct biliary reconstruction in pediatric living related liver transplantation: report of three cases |
| |
Authors: | Kimura Takuya Hasegawa Toshimichi Ihara Yoshiyuki Nara Keigo Sasaki Takashi Dono Keizo Mushiake Sotarou Fukuzawa Masahiro |
| |
Affiliation: | Division of Pediatric Surgery, Department of Surgery, Osaka University Graduate School of Medicine, Suita, Osaka, Japan. kimutaku@pedsurg.med.osaka-u.ac.jp |
| |
Abstract: | Feasibility of duct-to-duct biliary reconstruction in adult living related liver transplantation (LRLTx) has been recently reported; however, little has been known of its surgical outcome in children. To assess the feasibility and safety of duct-to-duct biliary reconstruction in children, the surgical outcomes of duct-to-duct biliary reconstruction were retrospectively analyzed. The subjects were three children who underwent LRLTx in our hospital each utilizing allografts with a right lobe, a left robe and a lateral segment, respectively. The cause of end-stage liver disease in each of them was fulminant Wilson's disease, fulminant hepatic failure and unresectable hepatoblastoma. Duct-to-duct anastomosis was performed in younger patients and adolescents with interrupted and continuous sutures, respectively. The diameter of bile duct in allografts was from 4 to 6 mm and 12 or 13 stitches were required for anastomosis. Post-operative choledochography from the external tube showed neither stenosis nor leakage and the tube was evacuated within 3 months after LRLTx. No biliary complications were observed with the median follow-up of 28 months. In conclusion, our results show that duct-to-duct biliary reconstructions in pediatric LRLTx seemed to be feasible and safe. Further studies are required to elucidate its real impact on pediatric LRLTx. |
| |
Keywords: | duct‐to‐duct biliary reconstruction pediatric living‐related liver transplantation choledochography |
本文献已被 PubMed 等数据库收录! |
|