Biliary complications in right lobe living donor liver transplantation

Living donor liver transplantation is an alternative to deceased donor liver transplantation in the face of insufficient deceased donor liver grafts. Unfortunately, the incidence of biliary complication after living donor liver transplantation is significantly higher than that after deceased donor l...

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Bibliographic Details
Published in:Hepatology international 2016-07, Vol.10 (4), p.553-558
Main Authors: Chok, Kenneth S. H., Lo, Chung Mau
Format: Article
Language:English
Subjects:
Bile Ducts - pathology
Biliary Tract Diseases - etiology
Biliary Tract Diseases - pathology
Biliary Tract Diseases - therapy
Colorectal Surgery
Hepatology
Humans
Liver Transplantation - adverse effects
Liver Transplantation - methods
Living Donors
Medicine
Medicine & Public Health
Review Article
Risk Factors
Surgery
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Summary:Living donor liver transplantation is an alternative to deceased donor liver transplantation in the face of insufficient deceased donor liver grafts. Unfortunately, the incidence of biliary complication after living donor liver transplantation is significantly higher than that after deceased donor liver transplantation using grafts from non-cardiac-death donations. The two most common biliary complications after living donor liver transplantation are bile leakage and biliary anastomotic stricture. Early treatment with endoscopic and interventional radiological approaches can achieve satisfactory outcomes. If treatment with these approaches fails, the salvage measure for prompt rectification will be surgical revision, which is now seldom performed. This paper also discusses risk factors in donor biliary anatomy that can affect recipients.
ISSN:1936-0533
1936-0541
DOI:10.1007/s12072-016-9710-0