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Biliary Reconstruction Techniques: From Biliary Tumors to Transplantation

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Liver Transplantation and Hepatobiliary Surgery

Part of the book series: Updates in Surgery ((UPDATESSURG))

Abstract

The performance of biliary reconstruction for restoring bilioenteric continuity after bile duct resection for hepatopancreatobiliary (HPB) tumors or during liver transplantation represents a basic skill for HPB and transplant surgeons. Such reconstruction may involve duct-to-duct anastomosis (or choledochocholedochostomy) or bilioenteric anastomosis, depending on the underlying disease, anatomy and indications. This chapter will describe the techniques of duct-to-duct and bilioenteric anastomoses focusing on their basic principles, techniques and application in oncological HPB surgery and liver transplantation.

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References

  1. Ahrendt SA, Pitt HA. A history of the bilioenteric anastomosis. Arch Surg. 1990;125:1493–500.

    Article  CAS  PubMed  Google Scholar 

  2. Quattlebaum JK, Quattlebaum JK Jr. Malignant obstruction of the major hepatic ducts. Ann Surg. 1965;161:876–89.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Starzl TE, Marchioro TL, Vonkaulla KN, et al. Homotransplantation of the liver in humans. Surg Gynecol Obstet. 1963;117:659–76.

    CAS  PubMed  PubMed Central  Google Scholar 

  4. Starzl TE, Putnam CW, Ishikawa M, et al. Current policies in hepatic transplantation: candidacy of patients with alcoholic liver disease or preformed antidonor antibodies and a reappraisal of biliary duct reconstruction. Ann N Y Acad Sci. 1975;252:145–58.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Calne RY. A new technique for biliary drainage in orthotopic liver transplantation utilizing the gall bladder as a pedicle graft conduit between the donor and recipient common bile ducts. Ann Surg. 1976;184:605–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Starzl TE, Iwatsuki S, Van Thiel DH, et al. Evolution of liver transplantation. Hepatology. 1982;2:614–36.

    Article  CAS  PubMed  Google Scholar 

  7. Jarnagin WR. Blumgart’s surgery of the liver, pancreas and biliary tract (e-book). Philadelphia, PA: Elsevier Health Sciences; 2016. p. 2120.

    Google Scholar 

  8. Brunner M, Stockheim J, Krautz C, et al. Continuous or interrupted suture technique for hepaticojejunostomy? A national survey. BMC Surg. 2018;18:84. https://doi.org/10.1186/s12893-018-0418-z.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Lee SG. A complete treatment of adult living donor liver transplantation: a review of surgical technique and current challenges to expand indication of patients. Am J Transplant. 2015;15:17–38.

    Article  PubMed  Google Scholar 

  10. Duconseil P, Turrini O, Ewald J, et al. Biliary complications after pancreaticoduodenectomy: skinny bile ducts are surgeons’ enemies. World J Surg. 2014;38:2946–51.

    Article  PubMed  Google Scholar 

  11. Nagino M, Nishio H, Ebata T, et al. Intrahepatic cholangiojejunostomy following hepatobiliary resection. Br J Surg. 2007;94:70–7.

    Article  CAS  PubMed  Google Scholar 

  12. Fan ST, Lo CM, Liu CL, et al. Biliary reconstruction and complications of right lobe live donor liver transplantation. Ann Surg. 2002;236:676–83.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Hirano S, Tanaka E, Tsuchikawa T, et al. Techniques of biliary reconstruction following bile duct resection (with video). J Hepatobiliary Pancreat Sci. 2012;19:203–9.

    Article  PubMed  Google Scholar 

  14. Northover JM, Terblanche J. A new look at the arterial supply of the bile duct in man and its surgical implications. Br J Surg. 1979;66:379–84.

    Article  CAS  PubMed  Google Scholar 

  15. Rouch DA, Emond JC, Thistlethwaite JR Jr, et al. Choledochocholedochostomy without a T tube or internal stent in transplantation of the liver. Surg Gynecol Obstet. 1990;170:239–44.

    CAS  PubMed  Google Scholar 

  16. Davidson BR, Rai R, Kurzawinski TR, et al. Prospective randomized trial of end-to-end versus side-to-side biliary reconstruction after orthotopic liver transplantation. Br J Surg. 1999;86:447–52.

    Article  CAS  PubMed  Google Scholar 

  17. Castaldo ET, Pinson CW, Feurer ID, et al. Continuous versus interrupted suture for end-to-end biliary anastomosis during liver transplantation gives equal results. Liver Transpl. 2007;13:234–8.

    Article  PubMed  Google Scholar 

  18. Seehofer D, Eurich D, Veltzke-Schlieker W, Neuhaus P. Biliary complications after liver transplantation: old problems and new challenges. Am J Transplant. 2013;13:253–65.

    Article  CAS  PubMed  Google Scholar 

  19. Scatton O, Meunier B, Cherqui D, et al. Randomized trial of choledochocholedochostomy with or without a T tube in orthotopic liver transplantation. Ann Surg. 2001;233:432–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  20. Riediger C, Müller MW, Michalski CW, et al. T-tube or no T-tube in the reconstruction of the biliary tract during orthotopic liver transplantation: systematic review and meta-analysis. Liver Transpl. 2010;16:705–17.

    PubMed  Google Scholar 

  21. Sun N, Zhang J, Li X, et al. Biliary tract reconstruction with or without T-tube in orthotopic liver transplantation: a systematic review and meta-analysis. Expert Rev Gastroenterol Hepatol. 2015;9:529–38.

    Article  CAS  PubMed  Google Scholar 

  22. Soin A, Pahari H, Goja S, et al. Targeting the Achilles’ heel of adult living donor liver transplant: corner-sparing sutures with mucosal eversion technique of biliary anastomosis. Liver Transpl. 2016;22:862–3.

    Article  PubMed  Google Scholar 

  23. Shah SA, Grant DR, McGilvray ID, et al. Biliary strictures in 130 consecutive right lobe living donor liver transplant recipients: results of a western center. Am J Transplant. 2007;7:161–7.

    Article  CAS  PubMed  Google Scholar 

  24. Wachs ME, Bak TE, Karrer FM, et al. Adult living donor liver transplantation using a right hepatic lobe. Transplantation. 1998;66:1313–6.

    Article  CAS  PubMed  Google Scholar 

  25. Hwang S, Lee S-G, Sung K-B, et al. Long-term incidence, risk factors, and management of biliary complications after adult living donor liver transplantation. Liver Transpl. 2006;12:831–8.

    Article  PubMed  Google Scholar 

  26. Qian YB, Liu CL, Lo CM, et al. Risk factors for biliary complications after liver transplantation. Arch Surg. 2004;139:1101–5.

    Article  PubMed  Google Scholar 

  27. Vellar ID. The blood supply of the biliary ductal system and its relevance to vasculobiliary injuries following cholecystectomy. ANZ J Surg. 1999;69:816–20.

    Article  CAS  Google Scholar 

  28. Vellar ID. Preliminary study of the anatomy of the venous drainage of the intrahepatic and extrahepatic bile ducts and its relevance to the practice of hepatobiliary surgery. ANZ J Surg. 2001;71:418–22.

    Article  CAS  PubMed  Google Scholar 

  29. Lee K-W, Joh JW, Kim SJ, et al. High hilar dissection: new technique to reduce biliary complication in living donor liver transplantation. Liver Transpl. 2004;10:1158–62.

    Article  PubMed  Google Scholar 

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Correspondence to Leonardo Centonze .

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Centonze, L., Di Sandro, S., Mangoni, I., De Carlis, L. (2020). Biliary Reconstruction Techniques: From Biliary Tumors to Transplantation. In: Cillo, U., De Carlis, L. (eds) Liver Transplantation and Hepatobiliary Surgery. Updates in Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-19762-9_7

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  • DOI: https://doi.org/10.1007/978-3-030-19762-9_7

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-19761-2

  • Online ISBN: 978-3-030-19762-9

  • eBook Packages: MedicineMedicine (R0)

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