✦ LIBER ✦

Salvage cystic duct anastomosis using a magnetic compression technique for incomplete bile duct reconstruction in living donor liver transplantation

✍ Scribed by Shigeru Marubashi; Hiroaki Nagano; Eigoro Yamanouchi; Shogo Kobayashi; Hidetoshi Eguchi; Yutaka Takeda; Masahiro Tanemura; Noboru Maeda; Kaname Tomoda; Hayato Hikita; Shusaku Tsutsui; Yuichiro Doki; Masaki Mori

Publisher: John Wiley and Sons
Year: 2010
Tongue: English
Weight: 245 KB
Volume: 16
Category: Article
ISSN: 1527-6465
DOI: 10.1002/lt.21934

No coin nor oath required. For personal study only.

✦ Synopsis

In living donor liver transplantation (LDLT), bile duct reconstruction is often technically demanding due to the frequently anomalous anatomy of the bile duct, as well as the high incidence of biliary complications. A bile duct branch may also be accidentally left without anastomosis at the time of LDLT and found to be obstructed after surgery. Surgical revision for such cases is sometimes not feasible because of the invasiveness of the procedure. We report a case in which a bile duct branch was intentionally left without anastomosis and was later successfully anastomosed to the cystic duct stump using a magnetic compression anastomosis (MCA) technique. A combination of the MCA technique and cystic duct anastomosis is life-saving in certain situations and should be considered as the treatment of choice.

📜 SIMILAR VOLUMES

Magnet compression anastomosis for bile

Magnet compression anastomosis for bile duct stenosis after duct-to-duct biliary reconstruction in living donor liver transplantation

✍ Hideaki Okajima; Atsushi Kotera; Takayuki Takeichi; Mikako Ueno; Taketoshi Ishik 📂 Article 📅 2005 🏛 John Wiley and Sons 🌐 English ⚖ 115 KB 👁 1 views

Use of a metallic-wall stent in the magn

Use of a metallic-wall stent in the magnet compression anastomosis technique for bile duct obstruction after liver transplantation

✍ Hirofumi Akita; Hayato Hikita; Eigoro Yamanouchi; Shigeru Marubashi; Hiroaki Nag 📂 Article 📅 2007 🏛 John Wiley and Sons 🌐 English ⚖ 220 KB 👁 1 views

low in our case. When it is difficult to deliver the parent magnet through the common bile duct, the wall stent may help us perform magnet compression anastomosis safely.

Feasibility of using the cystic duct for

Feasibility of using the cystic duct for biliary reconstruction in right-lobe living donor liver transplantation

✍ Katsuhiro Asonuma; Hideaki Okajima; Mikako Ueno; Takayuki Takeichi; Manuel E. Ze 📂 Article 📅 2005 🏛 John Wiley and Sons 🌐 English ⚖ 117 KB 👁 1 views

Duct-to-duct biliary reconstruction has been introduced in adult living donor liver transplantation (LDLT). In right-lobe grafts, however, the presence of two or three separated bile duct orifices is not rare and makes an alternative approach for reconstruction necessary. We used the cystic duct for