Surgical Anatomy of the Bile Ducts at the Hepatic Hilum as Applied to Living Donor Liver Transplantation

Ohkubo, Masayuki; Nagino, Masato; Kamiya, Junichi; Yuasa, Norihiro; Oda, Koji; Arai, Toshiyuki; Nishio, Hisahide; Nimura, Yuji

doi:10.1097/01.sla.0000102934.93029.89

Cited by 187 publications

(148 citation statements)

References 12 publications

(9 reference statements)

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“…This variation is considered 'typical' by most authors and occurs in 57-77.5% of cases [2][3][4][5][6][7][13][14][15][16][17][18].…”

Section: Rhd Featuresmentioning

confidence: 99%

“…Recently, more modern and comprehensive biliary tract classifications were suggested [3]. Numerous bile duct anatomic variations have been encountered in 50% of the population [1,4]. The anatomic variations of the right hepatic duct (RHD), the left hepatic duct (LHD) and the common hepatic duct (CHD) confluence (CHDC) have been extensively studied, whereas little is known about the details of the bile drainage of Segment 4 (Sg4) [2,[5][6][7].…”

Section: Introductionmentioning

confidence: 99%

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Six Rare Biliary Tract Anatomic Variations: Implications for Liver Surgery

Kostov

Kobakov

2011

EAJM

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Objective: The variations in the anatomy of the biliary tract need to be recognized in modern liver surgery. The purpose of this clinical and anatomical study is to describe several novel biliary tract variations and to outline their practical importance for liver resections and transplantations. Materials and Methods:Over the previous 10 years, the anatomic variations of the bile ducts were examined during 600 intraoperative cholangiographies, 104 segmentectomies and 54 hemihepatectomies in patients with liver diseases. The intraoperative anatomies of the right and left hepatic ducts and the common hepatic duct confluence were analyzed.

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“…This variation is considered 'typical' by most authors and occurs in 57-77.5% of cases [2][3][4][5][6][7][13][14][15][16][17][18].…”

Section: Rhd Featuresmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Six Rare Biliary Tract Anatomic Variations: Implications for Liver Surgery

Kostov

Kobakov

2011

EAJM

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“…The presented aberrant confluence of both, the right posterior and anterior sectorial ducts into the opposite left hepatic duct corresponded to Couinaud`s [1] type "f", respectively to Ohkubo's [4] and to Huang's [3,[5][6][7] type "C". Exactly, in this case the two right sectorial ducts were very close to each other and we had found three ducts (right posterior and anterior sectorial ducts and left hepatic duct in front of the portal bifurcation).…”

Section: Discussionmentioning

confidence: 99%

Aberrant Confluence of Intrahepatic Biliary Ducts - A Case Report

Jurkovikj

Korneti-Pekevska

2013

Maced J Med Sci

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Aim: Besides the most frequent-modal type of confluent patterns intrahepatic biliary ducts, there are cases with aberrant type of confluence. The aim of this report is to present a case with aberrant confluence of intrahepatic biliary ducts. Material and Methods:Injection-corrosive method was used to obtain acrylic cast from biliary and portal systems of one human liver. Biliary ducts were followed parallel to the adjoint portal ramification from the initial part of segmental ductules.

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“…Various authors have used different strategies with the underlying principle of obtaining a single healthy vascularized right duct in right lobe grafts. The importance of an adequately vascularized duct cannot be overemphasized [4] (Tables 4 and 5). …”

Section: Discussionmentioning

confidence: 99%

Is Duct to Duct biliary Anastomosis the Rule in Orthotopic Liver Transplantation?

2012

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Biliary complications after Liver Transplantation continue to be the major cause of morbidity in 11-25 % of patients. Biliary complications in patients who underwent orthotopic liver transplantation (OLT) at our institute between March 2007 and June 2010 were analyzed retrospectively. 32 patients underwent Deceased Donor Liver Transplantation (DDLT) and in 12 patients Living Donor Liver Transplantation (LDLT) was done. No patients were lost to follow up. Follow up ranged between 4 and 44 months. During the study period, 44 patients underwent orthotopic liver transplantation. Patients were divided into two groups: Biliary Complications group (BC) n05 and Non Biliary Complications group (NBC) n039. Biliary complications occurred in 15.9 % of patients. Bile leaks accounted for majority of biliary complications. Fifteen variables were analyzed as possible risk factors for biliary complications. Of these, split grafts, duct to duct biliary anastomosis and total blood loss were statistically significant (P<0.05) for biliary complications. Endoscopic treatment was successful in managing biliary complications in 75 % of patients. Biliary complications are the most common major complications in orthotopic liver transplantation. Significant risk factors are split liver grafts and duct to duct biliary anastomosis. Increased blood loss is a predictor for post operative biliary complications. These complications should be managed by endoscopic interventions. Surgery is indicated following failure of endoscopic interventions.

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Surgical Anatomy of the Bile Ducts at the Hepatic Hilum as Applied to Living Donor Liver Transplantation

Cited by 187 publications

References 12 publications

Six Rare Biliary Tract Anatomic Variations: Implications for Liver Surgery

Six Rare Biliary Tract Anatomic Variations: Implications for Liver Surgery

Aberrant Confluence of Intrahepatic Biliary Ducts - A Case Report

Is Duct to Duct biliary Anastomosis the Rule in Orthotopic Liver Transplantation?

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