05 January 2022 : Original article
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 Hsu1ABCDEF, Hao-Chien Hung12ABCDEF, Ching-Sung Lee3A, Kuang-Tse Pan4A, Jin-Chiao Lee32A, Yu-Chao Wang32A, Chih-Hsien Cheng32A, Tsung-Han Wu32A, Chen-Fang Lee32A, Hong-Shiue Chou32A, Kun-Ming Chan32A, Wei-Chen Lee32A, Ting-Jung Wu12ACDEF*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.