Radio-Opaque Filaments Guided Bile Duct Division During Living Donor Liver Transplantation, a Simple Solution to an Ongoing Dilemma

Q4 Medicine

Surgery, Gastroenterology and Oncology Pub Date : 2021-06-30 DOI:10.21614/sgo-26-2-259

A. Taha, Ramy A. Hassan, M. Mahdy, M. S. Abbas, N. Makhlouf, S. Hassaneen, Tameem M. Ibraheem

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引用次数: 1

Abstract

Background: We describe our experience with two techniques of bile duct division in donors of right lobe living donor liver transplantation (RL-LDLT). Methods: 49 RL-LDLT done in Al-Rajhi Liver Hospital, Assiut University, Egypt were divided into 2 eras; from November 2014 till September 2018, the site of biliary division in 29 donors was marked by metal clips (Clips group) and from October 2018 till September 2019, 20 donors were marked by radio-opaque filaments (ROF group). Results: There were no differences between groups in donors’ and recipients’ baseline characteristics. In ROF group there were less number of bile ducts stumps (2, range 1-3 versus 2 range 1-4 in Clips group, p=0.044), less number of “imprecise-transection” (1 (5%) versus 11 (37.9%) in Clips group, p=0.009) and fewer number intraoperative cholangiographies performed (1, range 1-2 versus 2 range 1-3 in Clips group, p=0.001). There were no differences between groups in the number of biliary anastomoses or incidence of biliary complications in donors or recipients. Median follow up is 33 months (range 8-66). Conclusions: Marking biliary division by ROF is a simple and minor modification but can decrease the difficulty of surgery and reduce exposure of donor and operating team to

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活体肝移植过程中，无线电不透明灯丝引导胆管分割，一个解决持续困境的简单方法

背景:我们描述了我们在右叶活体肝移植(RL-LDLT)供者中使用两种胆管分割技术的经验。方法:49例在埃及Assiut大学Al-Rajhi肝脏医院完成的RL-LDLT分为2期;2014年11月至2018年9月，29例献血者用金属夹(clips组)标记胆道分治部位;2018年10月至2019年9月，20例献血者用放射性不透明丝(ROF组)标记胆道分治部位。结果:两组间供体和受体基线特征无差异。ROF组胆管残端数量较少(2例，范围1-3,clip组2例，范围1-4,p=0.044)，“不精确断面”数量较少(1例(5%)，clip组11例(37.9%)，p=0.009)，术中胆管造影次数较少(1例，范围1-2,clip组2例，范围1-3,p=0.001)。两组间供、受者的胆道吻合口数量和胆道并发症发生率均无差异。中位随访时间为33个月(8-66个月)。结论:ROF标记胆道分界是一种简便易行的改良方法，可降低手术难度，减少供体和手术团队的暴露

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来源期刊

Surgery, Gastroenterology and Oncology Medicine-Gastroenterology

CiteScore

0.30

自引率

0.00%

发文量

期刊介绍： Starting with this issue "Annals of Fundeni Hospital", founded in 1996 as the scientific journal of the prestigious hospital Fundeni becomes "Journal of Translational Medicine and Research" (JTMR), an Journal of the Academy of Medical Sciences of Romania. Therefore, an 18 years old Journal, attested and indexed in Elsevier Bibliographic Databases, Amsterdam and also indexed in SCOPUS, is continuing a tradition of excellence that lasted almost two decades. The new title of the Journal is inspired first of all from the important developments of translational research In Fundeni Clinical Institute and the "C.C Iliescu Institute for Cardio-Vascular Diseases", in parallel with the national and international trend to promote and develop this important area or medical research. Although devoted mainly to translational research, JTMR will continue to promote both basic and clinical research.