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; Hao-Chien Hung; Ching-Sung Lee; Kuang-Tse Pan; Jin-Chiao Lee; Yu-Chao Wang; Chih-Hsien Cheng; Tsung-Han Wu; Chen-Fang Lee; Hong-Shiue Chou; Kun-Ming Chan; Wei-Chen Lee; Ting-Jung Wu

doi:10.12659/AOT.934459

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 Hsu^1ABCDEF, Hao-Chien Hung^12ABCDEF, Ching-Sung Lee^3A, Kuang-Tse Pan^4A, Jin-Chiao Lee^32A, Yu-Chao Wang^32A, Chih-Hsien Cheng^32A, Tsung-Han Wu^32A, Chen-Fang Lee^32A, Hong-Shiue Chou^32A, Kun-Ming Chan^32A, Wei-Chen Lee^32A, Ting-Jung Wu^12ACDEF*

DOI: 10.12659/AOT.934459

Ann Transplant 2022; 27:e934459

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Table 2 Risks of developing biliary complications in the univariate and multivariate analyses.

	Univariate analysis			Multivariate analysis
	OR	95% CI	p-value	OR	95% CI	p-value

BMI <24 (kg/m)	3.5	0.97–12.59	0.055	2.574	0.63–10.57	0.189
Biliary anatomic type^#			0.467^##
ABO incompatible	0.868	0.24–3.09	0.827
GRWR <0.9%	4	1.28–12.47	0.017^*	3.503	1.05–11.73	0.042^*

MELD >20	3.462	1.03–11.60	0.044^*	2.151	0.57–8.11	0.258
BMI >24	1.306	0.42–4.07	0.645
HCC	1.044	0.36–3.06	0.938
HBV	2.743	0.89–8.42	0.078	2.116	0.61–7.33	0.237
HCV	0.486	0.14–1.64	0.246
Blood loss (mL)	1.000	1.00–1.00	0.499
Warm ischemia time (mins)	1.041	0.98–1.11	0.225
Cold ischemia time (mins)	1.01	1.00–1.02	0.135
Dual ductal biliary reconstruction time (mins)	0.99	0.96–1.02	0.495
Reconstruction type
Type A	1
Type B	0.658	0.17–2.51	0.540
LDLT in two periods
Years 2004–2014	1
Years 2015–2018	0.424	0.133–1.345	0.145
OR – odds ratio; CI – confidence interval; BMI – body mass index; GRWR – graft-to-recipient weight ratio; MELD – Model for End-Stage Liver Disease; HCC – hepatocellular carcinoma; HBV – hepatitis B; HCV – hepatitis C; CBD – common bile duct. ^# According to , 2 Edition; ^## Logistic regression test, ^* P

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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

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