Biliary reconstruction in living donor liver transplantation with dye injection leakage test and without stent use

T. Ikegami, T. Nishizaki, K. Kishikawa, K. Nomoto, H. Uchiyama, R. Ohta, S. Hiroshige, K. Sugimachi

Research output: Contribution to journalArticlepeer-review

7 Citations (Scopus)

Abstract

Biliary complication remains a significant source of morbidity and mortality in living donor liver transplantation. From October 1996 to December 1999, 34 patients underwent 35 living donor liver transplantations at Kyushu University Hospital. In the initial twenty cases, anastomotic internal stents were placed. In the most recent fifteen cases, no internal stent was inserted and routine postreconstruction dye injection leakage tests were administered. In recipient biliary reconstruction, hepaticojejunostomy was performed using interrupted sutures without an anastomotic stent. After an intestinal clamp was applied at the anal side of the hepaticojejunostomy, leakage test was done using diluted indigo-carmine solution injected into the jejunal loop lumen. Two (13%) of the fifteen recent patients suffered from biliary complications, whereas eight patients (40%) from the former twenty patients suffered from biliary complications. We conclude that the use of the stent was not useful, but the application of the dye injection leakage test was useful.

Original languageEnglish
Pages (from-to)1582-1584
Number of pages3
JournalHepato-gastroenterology
Volume48
Issue number42
Publication statusPublished - 2001

All Science Journal Classification (ASJC) codes

  • Hepatology
  • Gastroenterology

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