Hepatic artery reconstruction and biliary stricture formation after living donor adult liver transplantation using the left lobe

Taketoshi Suehiro, Mizuki Ninomiya, Satoko Shiotani, Syoji Hiroshige, Noboru Harada, Minagawa Ryosuke, Yuji Soejima, Mitsuo Shimada, Keizo Sugimachi

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27 Citations (Scopus)


Biliary complications, including bile leak, biliary stricture, and cholangitis, are seen in 15% to 29% of all cases after living related liver transplantation. We investigate risk factors and discuss the management of biliary complications after living related liver transplantation in adults using left-lobe grafts. We studied 37 adult patients who underwent living related liver transplantation using left-lobe grafts. Perioperative variables were evaluated as risk factors for biliary strictures. The overall incidence of biliary complications was 43.2% (16 of 37 patients). Anastomotic strictures occurred in 8 patients, whereas bile leaks and cholangitis occurred in 9 and 8 patients, respectively. Anastomotic stricture was strongly related to a partial artery reconstruction (P < .02) and cholangitis (P < .01). Anastomotic biliary stricture was not associated with bile leak, acute cellular rejection, or infection. Our results suggest that an important risk factor for biliary anastomotic biliary strictures is a partial artery reconstruction. To minimize the risk for biliary anastomotic strictures, we will reconstruct both the middle and left hepatic artery.

Original languageEnglish
Pages (from-to)495-499
Number of pages5
JournalLiver Transplantation
Issue number5
Publication statusPublished - Jan 1 2002


All Science Journal Classification (ASJC) codes

  • Surgery
  • Hepatology
  • Transplantation

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