Clinical feasibility of direct cholangiography via a PTGBD tube during laparoscopic living-donor hepatectomy.

IF 2.3 4区医学 Q2 SURGERY

Surgery Today Pub Date : 2026-09-24 DOI:10.1007/s00595-026-03494-8

Takeo Toshima, Shinji Itoh, Atsuhisa Fukuta, Toshiharu Matsuura, Tatsuro Tajiri, Tomoharu Yoshizumi

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引用次数: 0

Abstract

Purposes: Accurate biliary visualization is essential for laparoscopic living-donor hepatectomy. We evaluated the feasibility of PTGBD-based direct cholangiography through percutaneous gallbladder puncture during pure laparoscopic left lateral sectionectomy (Lap-LLS) in living donor liver transplantation (LDLT).

Methods: From February 2023 to December 2025, 31 LDLTs using left lateral section grafts were performed at our institution. PTGBD-based transgallbladder direct cholangiography was performed to delineate the biliary anatomy and assess the bile duct transection line in relation to the hepatic duct bifurcation.

Results: Direct cholangiography via gallbladder puncture was successfully performed in 30 donors, excluding the initial case, providing clear and repeatable visualization of the biliary anatomy. This technique enables reliable and repeated confirmation of safe bile duct division. No donor stump leakage, stricture, or recipient anastomotic leakage or stricture occurred postoperatively.

Conclusions: PTGBD-based direct cholangiography is a feasible adjunct to pure Lap-LLS and it may facilitate precise bile duct division in minimally invasive LDLT.

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腹腔镜活体肝切除术中经PTGBD管直接胆管造影的临床可行性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Surgery Today 医学-外科

CiteScore

4.90

自引率

4.00%

发文量

208

审稿时长

1 months

期刊介绍： Surgery Today is the official journal of the Japan Surgical Society. The main purpose of the journal is to provide a place for the publication of high-quality papers documenting recent advances and new developments in all fields of surgery, both clinical and experimental. The journal welcomes original papers, review articles, and short communications, as well as short technical reports("How to do it"). The "How to do it" section will includes short articles on methods or techniques recommended for practical surgery. Papers submitted to the journal are reviewed by an international editorial board. Field of interest: All fields of surgery.