Publications
Detailed Information
In adult-to-adult living donor liver transplantation hepaticojejunostomy shows a better long-term outcome than duct-to-duct anastomosis
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Yi, Nam-Joon | - |
dc.contributor.author | Suh, Kyung-Suk | - |
dc.contributor.author | Cho, Jai Young | - |
dc.contributor.author | Kwon, Choon Hyuck | - |
dc.contributor.author | Lee, Kuhn Uk | - |
dc.date.accessioned | 2009-11-26T04:53:35Z | - |
dc.date.available | 2009-11-26T04:53:35Z | - |
dc.date.issued | 2005-10-14 | - |
dc.identifier.citation | Transpl Int. 2005 Nov;18(11):1240-7 | en |
dc.identifier.issn | 0934-0874 (Print) | - |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=16221154 | - |
dc.identifier.uri | https://hdl.handle.net/10371/15857 | - |
dc.description.abstract | Roux-en-Y hepaticojejunostomy (RYHJ) has been the standard biliary reconstruction in adult-to-adult living donor liver transplantation (ALDLT). Recently, duct-to-duct anastomosis (DD) has been introduced. This study compared the outcomes of RYHJ and DD. For 4 years, 74 recipients underwent ALDLT and were followed up for at least 2 years. The patients were divided into three groups, RYHJ group (n = 18), DD with a stent (DD + S) group (n = 35), and DD without a stent (DD - S) group (n = 21). Overall, biliary complications were developed in 32.4% patients. The biliary complication rate was 11.1%, 48.5% and 33.3% in RYHJ, DD + S and DD - S groups, respectively (P = 0.047). Bile leaks occurred in 28.5% of DD + S group. The incidence of biliary stricture was 5.3%, 20.2% and 28.6% in RYHJ, DD + S and DD - S group, respectively. Most complications (83.3%) were resolved nonsurgically. RYHJ has a better long-term outcome than DD in ALDLT. Subgroup analysis of DD group showed that DD - S group had no bile leaks, but still had a higher incidence of bile duct strictures. However, because this study was a retrospective review there are limitations in analyzing the data and confirming the conclusion. A randomized-prospective study will be needed to confirm these findings. | en |
dc.language.iso | en | - |
dc.publisher | Blackwell Publishing | en |
dc.subject | Adult | en |
dc.subject | Anastomosis, Roux-en-Y | en |
dc.subject | Bile Ducts/*surgery | en |
dc.subject | Biliary Tract Surgical Procedures | en |
dc.subject | Cholestasis/*epidemiology | en |
dc.subject | Female | en |
dc.subject | Humans | en |
dc.subject | Incidence | en |
dc.subject | Jejunum/*surgery | en |
dc.subject | Liver Transplantation/*methods/statistics & numerical data | en |
dc.subject | Male | en |
dc.subject | Middle Aged | en |
dc.subject | Postoperative Complications/*epidemiology | en |
dc.subject | Retrospective Studies | en |
dc.subject | Stents | en |
dc.subject | Treatment Outcome | en |
dc.subject | Living Donors | - |
dc.title | In adult-to-adult living donor liver transplantation hepaticojejunostomy shows a better long-term outcome than duct-to-duct anastomosis | en |
dc.type | Article | en |
dc.contributor.AlternativeAuthor | 이남준 | - |
dc.contributor.AlternativeAuthor | 서경석 | - |
dc.contributor.AlternativeAuthor | 조재영 | - |
dc.contributor.AlternativeAuthor | 권준혁 | - |
dc.contributor.AlternativeAuthor | 이건욱 | - |
dc.identifier.doi | 10.1111/j.1432-2277.2005.00209.x | - |
- Appears in Collections:
- Files in This Item:
- There are no files associated with this item.
Item View & Download Count
Items in S-Space are protected by copyright, with all rights reserved, unless otherwise indicated.