Optimizing biliary outcomes in living donor liver transplantation: Evolution towards standardization in a high-volume center

• 作者: Aldwin D. Ong Chao-Long Chen Jeffrey Samuel Co Tsan-Shiun Lin
• 来源期刊: 国际肝胆胰疾病杂志(英文版)
• 年，卷（期）: 2020,（4）
• 页码范围: 324-327
• 页数: 4页
• 语种: 英文

摘要

Biliary complications have always been a dreaded cause of morbidity after living donor liver transplanta- tion. While intrinsic variations in both graft and recipient biliary anatomy remain a significant factor to the difficulty of biliary reconstruction, our institution has taken advantage of its high volume of cases to critically review and evaluate modifiable operative risk factors, in particular, our surgical protocols. We present herein, the evolution of our reconstructive biliary technique from conventional methods to our current standard of microsurgical biliary reconstruction for both graft and recipient ducts. Over this pe- riod of transition, our center has created a classification system for biliary reconstruction that decreased the biliary complication rates from 40.0％ to 10.2％.