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首页> 外文期刊>Journal of hepato-biliary-pancreatic sciences >Technical refinements of bile duct division in living donor liver surgery.
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Technical refinements of bile duct division in living donor liver surgery.

机译：在活体供肝手术中胆管分割的技术改进。

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BACKGROUND/PURPOSE: In spite of the great risk involved, the donor bile duct division procedure has not been thoroughly addressed in the literature. The purpose of this study is to show the appropriate approach to bile duct division in living donor hepatectomy. METHODS: Of 87 living donor liver surgeries, we performed bile duct division by marking the cutting point using a small vascular clip under ordinary cholangiography in the first 37 patients, while the current procedure was used in 50 patients by encircling the cutting point using a radiopaque marker filament under real-time C-arm cholangiography. RESULTS: Regarding the procurement of the 51 right lobe grafts, the incidence of multiple bile ducts in the graft was significantly reduced by our novel procedure [20/28 (71%) vs. 7/23 (30%), P < 0.01, Fisher's test]. Overall, there were no biliary strictures after surgery in any of the donors, with a median follow-up period of 43 months (range 8-136). CONCLUSIONS: Our procedure of bile duct division in living liver donor surgery enabled us to avoid the biliary stricture while cutting the bile duct of the donor with great accuracy.
机译：背景/目的：尽管存在很大的风险，但文献中尚未彻底解决供体胆管分割手术。这项研究的目的是显示在活体供者肝切除术中适当的胆管分割方法。方法：在87例活体供肝手术中，我们对前37例患者进行了胆管分割术，方法是在普通的胆管造影下使用小血管夹标记切开点，而目前的手术在50例患者中使用不透射线的方法围住切开点实时C臂胆管造影术中标记纤维。结果：关于51颗右叶移植物的采购，通过我们的新方法显着降低了移植物中多胆管的发生率[20/28（71％）vs. 7/23（30％），P <0.01，费舍尔测试]。总体而言，任何捐献者术后均无胆道狭窄，中位随访期为43个月（范围8-136）。结论：我们在活体肝脏供体手术中的胆管分割程序使我们能够避免胆道狭窄，同时精确地切割供体的胆管。

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