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Cholangiojejunostomy for multiple biliary ducts in living donor liver transplantation: A case report

World Journal of Clinical Cases 2021年第11期9卷 2649-2654页

作者： Fei Xiao Li-Ying Sun Lin Wei Zhi-Gui Zeng Wei Qu Ying Liu Hai-Ming Zhang Zhi-Jun Zhu Liver Transplantation Center National Clinical Research Center for Digestive DiseasesBeijing Friendship HospitalCapital Medical UniversityBeijing 100050China Department of Organ Transplantation Liao Cheng People's HospitalLiaocheng 252000Shandong ProvinceChina Clinical Center for Pediatric Liver Transplantation Capital Medical UniversityBeijing 100050China Beijing Key Laboratory of Tolerance Induction and Organ Protection in Transplantation Capital Medical UniversityBeijing 100050China Department of Intensive Care Unit Beijing Friendship HospitalCapital Medical UniversityBeijing 100050China Liver Transplantation Center National Clinical Research Center for Digestive DiseasesCapital Medical UniversityBeijing 100050China

BACKGROUND Laparoscopic living donor hepatectomy(LLDH)has been successfully carried out in several transplant *** reconstruction is key in living donor liver transplantation(LDLT).Reliable biliary reconstruction can effectively prevent postoperative biliary stricture and *** preoperative magnetic resonance cholangiopancreatography and intraoperative indocyanine green cholangiography have been shown to be helpful in determining optimal division points,biliary variability and limitations associated with LLDH,multiple biliary tracts are often encountered during surgery,which inhibits biliary reconstruction.A reliable cholangiojejunostomy for multiple biliary ducts has been utilized in *** procedure provides a reference for multiple biliary reconstructions after *** SUMMARY A 2-year-old girl diagnosed with ornithine transcarbamylase deficiency required liver *** to the scarcity of deceased donors,she was put on the waiting list for *** father was a suitable donor;however,after a rigorous evaluation,preoperative magnetic resonance cholangiopancreatography examination of the donor indicated the possibility of multivessel variation in the biliary ***,a laparoscopic left lateral section was performed on the donor,which met the estimated graft-to-recipient weight *** intraoperative indocyanine green cholangiography,4 biliary tracts were confirmed in the *** was difficult to reform the intrahepatic bile ducts due to their openings of more than 5 mm.A reliable cholangiojejunostomy was,therefore,utilized:Suture of the jejunum to the adjacent liver was performed around the bile duct openings with 6/0 absorbable *** the last follow-up(1 year after surgery),the patient was *** Intrahepatic cholangiojejunostomy is reliable for multiple biliary ducts after LLDH in LDLT.

关键词： Cholangiojejunostomy Living donor liver transplantation Laparoscopic left lateral section multiple biliary ducts Treatment Case report

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