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2. Hepaticoduodenostomy Is an Alternative to Roux-en-Y Hepaticojejunostomy for Biliary Reconstruction in Live Donor Liver Transplantation

Author

Campsen, Jeffrey, Zimmerman, Michael A., Mandell, Mercedes Susan, Wachs, Michael, Bak, Tom, Forman, Lisa, Steinberg, Tracy, and Kam, Igal

Abstract

A Roux-en-Y hepaticojejunostomy (HJ) is usually performed during live donor liver transplantation (LDLT) when a duct-to-duct reconstruction is not possible. However, direct anastomosis of the bile duct to the duodenum (hepaticoduodenostomy HD) is an alternative technique for biliary repair that has been previously used for conventional biliary surgery and at our center for cadaveric liver transplant. We provide the first evidence that HD is an alternative technique for biliary reconstruction in LDLT.

Published
2009
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