Optimizing biliary outcomes in living donor liver transplantation: Evolution towards standardization in a high-volume center.
Hepatobiliary Pancreat Dis Int
; 19(4): 324-327, 2020 Aug.
Article
em En
| MEDLINE
| ID: mdl-32631761
Biliary complications have always been a dreaded cause of morbidity after living donor liver transplantation. 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 period of transition, our center has created a classification system for biliary reconstruction that decreased the biliary complication rates from 40.0% to 10.2%.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Ductos Biliares
/
Procedimentos Cirúrgicos do Sistema Biliar
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Transplante de Fígado
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Doadores Vivos
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Hospitais com Alto Volume de Atendimentos
Tipo de estudo:
Risk_factors_studies
Limite:
Humans
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article