05 January 2022: Original Paper
Reconstruction of Separated Intrahepatic Ducts Using the Cystic and Common Hepatic Ducts in Right-Lobe Living-Donor Liver Transplantation: Experiences of Surgical Techniques, Biliary Complications, and Outcomes in a Single Institution
Po-Jung Hsu 1ABCDEF* , Hao-Chien Hung 12ABCDEF* , Ching-Sung Lee 3A , Kuang-Tse Pan 4A , Jin-Chiao Lee 12A , Yu-Chao Wang 12A , Chih-Hsien Cheng 12A , Tsung-Han Wu 12A , Chen-Fang Lee 12A , Hong-Shiue Chou 12A , Kun-Ming Chan 12A , Wei-Chen Lee 12A , Ting-Jung Wu 12ACDEF*DOI: 10.12659/AOT.934459
Ann Transplant 2022; 27:e934459
Figure 2 Steps of type A reconstruction: (A) right anterior intrahepatic duct (IHD) is anastomosed to the common hepatic duct (CHD) and right posterior IHD to the cystic duct; (B) guide wire is inserted through the cystic duct into the right posterior IHD, showing the sharp angle of biliary axis between the IHD of the graft and the native CBD of the recipient; (C) dilator is placed in the anastomosed cystic duct stricture; (D) endoscopic retrograde biliary drainage with 1 stent for stricture of cystic duct anastomosis.