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- W2340433910 abstract "Biliary duct mismatches during a liver transplant typically result in a biliary-enteric anastomosis. Other surgical options exist to deal with a significant size mismatch between the donor and recipient bile ducts. The objective of this study was to compare the outcomes of biliary ductoplasty (BD) and biliary transposition (BT). All livers transplanted from January 1, 2005 to December 31, 2013 were reviewed for biliary reconstruction techniques. This study assessed patient and graft survival, biliary strictures, leaks and number of endoscopic procedures. 723 liver transplants were performed during the study period. We identified 10 patients who underwent BD and 23 patients that underwent BT. Patient and graft survival for BD and BT were both 100.0% at 1 year. The median length of stay was 10 days in both groups. Early stricture rates (<7 days) were similar; 10.0 % in BD and 11.5% in BT (p = 0.5905). The overall stricture rate was 70.0% of patients in the BD group (7/10 patients) while the BT group had a 47.8% (11/23 patients) stricture rate (p = 0.28). Leaks were detected in 20% of BD patients while only 4% of the BT developed leaks. All of the leaks were treated with endoscopic therapy. The average number of ERCPs in the BD group was 1.9 procedures while the BT group underwent an average of 1.2 procedures (p = n.s.).Figure 2Kaplan–Meir curve comparing graft survival following liver transplantation in patients who had BD vs BT for biliary reconstruction.View Large Image Figure ViewerDownload (PPT) [Patient survival/graft survival] This study demonstrates favorable outcomes with both biliary reconstruction techniques. Choice of reconstruction is dependent on multiple factors including sizes of the ducts and surgeon experience." @default.
- W2340433910 created "2016-06-24" @default.
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- W2340433910 date "2016-04-01" @default.
- W2340433910 modified "2023-09-27" @default.
- W2340433910 title "Novel biliary reconstruction techniques during liver transplantation" @default.
- W2340433910 doi "https://doi.org/10.1016/j.hpb.2016.03.460" @default.
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