Duct‐to‐duct biliary reconstruction in pediatric split‐liver transplantation

Duct‐to‐duct biliary reconstruction in pediatric split‐liver transplantation AbbreviationsALFacute liver failureCHFcongenital hepatic fibrosisDDduct‐to‐ductGRWRgraft‐to‐recipient weight ratioLDLTliving donor liver transplantationLLSleft lateral sectorPELDPediatric End‐Stage Liver DiseaseRYRoux‐en‐ySLTsplit‐liver transplantationTO THE EDITOR:Biliary complications are still a major problem in liver transplantation despite advances in surgical techniques and accumulating experience. Historically, Roux‐en‐y (RY) biliary reconstruction has been the procedure of choice for pediatric patients due to the high prevalence of biliary atresia and technical challenges related to the small size and fragility of the ducts of pediatric recipients. On the other hand, there are some suggested advantages of duct‐to‐duct (DD) biliary reconstruction, such as providing a better bacterial barrier and facilitating postoperative endoscopic access by preserving anatomic continuity. Although there are articles on the feasibility of DD biliary reconstruction in pediatric liver transplantation, most of these studies cover living donor pediatric liver transplantations, and there is no study covering DD reconstruction in pediatric split‐liver transplantations (SLTs).This study aims to represent 5 pediatric SLT recipients with DD reconstruction and discusses its feasibility over the outcomes of these patients with a brief review of the literature.Patients and MethodsMedical recordings from 10 consecutive SLTs that were carried out between April 2010 and September 2015 at Izmir Kent Hospital were retrospectively analyzed. Five pediatric patients receiving left lateral http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Liver Transplantation Wiley

Duct‐to‐duct biliary reconstruction in pediatric split‐liver transplantation

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Publisher
Wiley
Copyright
© 2018 by the American Association for the Study of Liver Diseases.
ISSN
1527-6465
eISSN
1527-6473
D.O.I.
10.1002/lt.24970
Publisher site
See Article on Publisher Site

Abstract

AbbreviationsALFacute liver failureCHFcongenital hepatic fibrosisDDduct‐to‐ductGRWRgraft‐to‐recipient weight ratioLDLTliving donor liver transplantationLLSleft lateral sectorPELDPediatric End‐Stage Liver DiseaseRYRoux‐en‐ySLTsplit‐liver transplantationTO THE EDITOR:Biliary complications are still a major problem in liver transplantation despite advances in surgical techniques and accumulating experience. Historically, Roux‐en‐y (RY) biliary reconstruction has been the procedure of choice for pediatric patients due to the high prevalence of biliary atresia and technical challenges related to the small size and fragility of the ducts of pediatric recipients. On the other hand, there are some suggested advantages of duct‐to‐duct (DD) biliary reconstruction, such as providing a better bacterial barrier and facilitating postoperative endoscopic access by preserving anatomic continuity. Although there are articles on the feasibility of DD biliary reconstruction in pediatric liver transplantation, most of these studies cover living donor pediatric liver transplantations, and there is no study covering DD reconstruction in pediatric split‐liver transplantations (SLTs).This study aims to represent 5 pediatric SLT recipients with DD reconstruction and discusses its feasibility over the outcomes of these patients with a brief review of the literature.Patients and MethodsMedical recordings from 10 consecutive SLTs that were carried out between April 2010 and September 2015 at Izmir Kent Hospital were retrospectively analyzed. Five pediatric patients receiving left lateral

Journal

Liver TransplantationWiley

Published: Jan 1, 2018

References

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