Journal of Gastrointestinal Surgery

, Volume 13, Issue 4, pp 810–813

Choledocho-Choledochostomy in Deceased Donor Liver Transplantation

how i do it

Abstract

Biliary complications following deceased donor liver transplantation occur with an incidence of approximately 5–10%. The most common type of biliary reconstruction in whole-organ deceased donor liver transplantation remains the choledocho-choledochostomy, which creates an anastomosis between the donor and recipient common bile ducts or common hepatic ducts. Key elements in performing a successful choledocho-choledochostomy include ensuring that bile ducts have adequate blood supply and avoiding mechanical trauma or tension on the anastomosis. Techniques including ductoplasty and spatulation can be used to fashion an anastomosis even in the face of significant size mismatch between donor and recipient bile ducts. This article describes the technique of choledocho-choledochostomy in deceased donor liver transplantation.

Keywords

Choledocho-choledochostomy Liver transplantation Biliary anastomosis Deceased donor 

References

  1. 1.
    Buczkowski AK, Schaeffer DF, Kim PW, Ho SG, Yoshida EM, Steinbrecher UP, et al. Spatulated end-to-end bile duct reconstruction in orthotopic liver transplantation. Clin Transplant 2007;21(7):7–12.PubMedCrossRefGoogle Scholar
  2. 2.
    Klein AS, Savader S, Burdick JF, Fair JH, Mitchell M, Colombani P, et al. Reduction of morbidity and mortality from biliary complications following liver transplantation. Hepatology 1991;14(5):818–823.PubMedCrossRefGoogle Scholar
  3. 3.
    Park JS, Kim MH, Lee SK, Seo DW, Lee SS, Han J, et al. Efficacy of endoscopic and percutaneous treatments for biliary complications after cadaveric and living donor liver transplantation. Gastrointest Endosc 2003;57(1):78–85.PubMedCrossRefGoogle Scholar
  4. 4.
    Scatton O, Meunier B, Cherqui D, Boillot O, Sauvanet A, Boudjema K, et al. Randomized trial of choledochocholedochostomy with or without a T tube in orthotopic liver transplantation. Ann Surg 2001;233(3):432–437. Mar.PubMedCrossRefGoogle Scholar

Copyright information

© The Society for Surgery of the Alimentary Tract 2008

Authors and Affiliations

  1. 1.Comprehensive Transplant Center, Department of SurgeryCedars-Sinai Medical CenterLos AngelesUSA
  2. 2.Cedars-Sinai Medical CenterLos AngelesUSA

Personalised recommendations