The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Login
EN
+7 (495) 482-4118
+7 (495) 482-0604
+8 800 101-59-87
  • (toll-free number for subscriptions)
    Mon-Fri from 10 a.m. to 6 p.m.

  • © 1998-2025
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

Semenkov A.V.

Otdelenie peresadki pecheni Rossiĭskogo nauchnogo tsentra khirurgii im. akad. B.V. Petrovskogo RAMN, Moskva

Filin A.V.

Otdelenie peresadki pecheni Rossiĭskogo nauchnogo tsentra khirurgii im. akad. B.V. Petrovskogo RAMN, Moskva

Kim E.F.

Petrovsky Russian Research Center for Surgery, Moscow, Russia

Ushakova I.A.

Acad. B.V. Petrovskiy Russian Research Centre of Surgery, Moscow, Russia

Goncharova A.V.

Petrovsky National Research Centre of Surgery, 119991, Abrikosovsky, 2, Moscow, Russia

The results of biliary reconstructions after liver fragments transplantation

Authors:

Semenkov A.V., Filin A.V., Kim E.F., Ushakova I.A., Goncharova A.V.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2015;(8): 22‑28

DOI: 10.17116/hirurgia2015822-28

Views: 760

Downloaded: 15

Download PDF (RU)
Contact the author
Table of contents

To cite this article:

Semenkov AV, Filin AV, Kim EF, Ushakova IA, Goncharova AV. The results of biliary reconstructions after liver fragments transplantation. Pirogov Russian Journal of Surgery. 2015;(8):22‑28. (In Russ.)
https://doi.org/10.17116/hirurgia2015822-28

Подписка 2025 (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Close metadata

Aim. To analyze the results of repeated reconstructions of choleresis after living related liver fragments transplantation. Material and methods. The study included 268 recipients (145 women and 123 men) aged 5 months - 61 years (mean age 16,11±14,62 years) who underwent liver fragments transplantation in the department of liver transplantation of cad. B.V. Petrovskiy Russian Research Surgery Center from 1997 to 2012. Biliary reconstructions were performed at different terms after transplantation in 37 patients (13.81%). Complications followed repeated reconstructions, the initial conditions for biliary anastomosis formation during transplantation, the results of biliary reconstructions after transplantation were analyzed. Results. In most cases despite the prevailing complications there is a combination of various biliary complications requiring biliary reconstruction. It was found that live rfragment used for transplantation, type of primary reconstruction of choler sis, number of bile ducts orifices of graft and biliary anastomoses do not demonstrate statistically significant effect on the incidence of post-transplant biliary reconstructions (p>0.05). Poor prognosis in patients with biliary complications required biliary reconstructionsis determined by the development of graft dysfunction. Early reconstruction before development of liver transplant dysfunction is necessary condition of successful treatment. In the case of graft dysfunction liver retransplantation is unique method of treatment.

Keywords:

liver fragments transplantation
repeated reconstructions
graft dysfunction

Authors:

Semenkov A.V.

Otdelenie peresadki pecheni Rossiĭskogo nauchnogo tsentra khirurgii im. akad. B.V. Petrovskogo RAMN, Moskva

Filin A.V.

Otdelenie peresadki pecheni Rossiĭskogo nauchnogo tsentra khirurgii im. akad. B.V. Petrovskogo RAMN, Moskva

Kim E.F.

Petrovsky Russian Research Center for Surgery, Moscow, Russia

Ushakova I.A.

Acad. B.V. Petrovskiy Russian Research Centre of Surgery, Moscow, Russia

Goncharova A.V.

Petrovsky National Research Centre of Surgery, 119991, Abrikosovsky, 2, Moscow, Russia

List of references:

  1. Anderson CD, Turmelle YP, Darcy M et al. Biliary strictures in pediatric liver transplant recipients - early diagnosis and treatment results in excellent graft outcomes. Pediatr Transplant. 2010;14(3):358-363.
  2. Axelrod DA, Lentine KL, Xiao H, Dzebisashvilli N, Schnitzler M, Tuttle-Newhall JE, Segev DL. National Assessment of Early Biliary Complications Following Liver Transplantation: Incidence and Outcomes. Liver Transplantation. 2014;20:446-456.
  3. Balderramo D, Cardenas A. The Model for End-Stage Liver Disease score and posttransplant biliary complications. Liver Transpl. 2012;18:138.
  4. Belenky A, Mor E, Bartal G et al. Transhepatic balloon dilatation of early biliary strictures in pediatric liver transplantation: successful initial and mid-term outcome. Cardiovasc Intervent Radiol. 2004;27(5):491-494.
  5. Campbell WL, Sheng R, Zajko AB et al. Intrahepatic biliary structures after liver transplantation. Radiology. 1994;191:735.
  6. Colonna JO, Shaked A, Gomes AS, Colquhoun SD, Jurim O, McDiarmid SD et al. Biliary strictures complicating liver transplantation. Incidence, pathogenesis, management, and outcome. Ann Surg. 1992;216:344-352.
  7. Darius T, Rivera J, Fusaro F, Lai Q, de MagnLa C, Bourdeaux C et al. Risk factors and surgical management of anastomotic biliary complications after pediatric liver transplantation. Liver Transpl. 2014;20:893-903.
  8. Davidson BR, Rai R, Nandy A, Doctor N, Burroughs A, Rolles K. Results of choledochojejunostomy in the treatment of biliary complications after liver transplantation in the era of nonsurgical therapies. Liver Trample. 2000;6:201-206.
  9. Egawa H, Uemoto S, Inomata Y, Shapiro AM, Asonuma K, Kiuchi T et al. Biliary complications in pediatric living related liver transplantation. Surgery. 1998;124:901-910.
  10. Egawa H, Inomata Y, Uemoto S, Asonuma K, Kiuchi T, Fujita S et al. Biliary anastomotic complications in 400 living related liver transplantations. World J Surg. 2001;25:1300-1307.
  11. Feier FH, Chapchap P, Pugliese R, da Fonseca EA, Carnevale FC, Moreira AM et al. Diagnosis and management of biliary complications in pediatric living donor liver transplant recipients. Liver Transpl. 2014;20(8):882-892.
  12. Feller RB, Waugh RC, Selby WS et al. Biliary strictures after liver transplantation: Clinical picture, correlates, and outcomes. J Gastroenterol Hepatol. 1996;11:21.
  13. Gastaca M. Biliary complications after orthotopic liver transplantation: a review of incidence and risk factors. Transplant Proc. 2012;44:1545-1549.
  14. Gholson CF, Zibari G, McDonald JC. Endoscopic diagnosis and management of biliary complications following orthotopic liver transplantation [review]. Dig Dis Sci. 1996;41:1045-1053.
  15. Gondolesi GE, Varotti G, Florman SS, Munoz L, Fishbein TM, Emre SH et al. Biliary complications in 96 consecutive right lobe living donor transplant recipients. Transplantation. 2004;77:1842-1848.
  16. Heffron TG, Emond JC, Whitington PF et al. Biliary complication in pediatric liver transplantation: a comparison of reduced-size and whole grafts. Transplantation. 1992;53:391-395.
  17. Hisatsune H, Yazumi S, Egawa H, Asada M, Hasegawa K, Kodama Y et al. Endoscopic management of biliary stricture after duct-to-duct biliary reconstruction in right-lobe living donor liver transplantation. Transplantation. 2003;76:810-815.
  18. Holt AP, Thorburn D, Mirza D, Gunson B, Wong T, Haydon G. A prospective study of standardized nonsurgical therapy in the management of biliary anastomotic strictures complicating liver transplantation. Transplantation. 2007;84:857-863.
  19. Ishiko T, Egawa H, Kasahara M, Nakamura T, Oike F, Kaihara S et al. Duct-to-duct biliary reconstruction in living donor liver transplantation utilizing right lobe graft. Ann Surg. 2002;236:235-240.
  20. Karakayali F, Kirnap M, Akdur A et al. Biliary complications after pediatric liver transplantation. Transplant Proc. 2013;45(10):3524-3527.
  21. Krokidis M, Orgera G, Rossi M, Matteoli M, Hatzidakis A. Interventional radiology in the management of benign biliary stenoses, biliary leaks and fistulas: a pictorial review. Insights Imaging. 2013;4(1):77-84.
  22. Kyoden Y, Tamura S, Sugawara Y, Matsui Y, Togashi J, Kaneko J et al. Incidence and management of biliary complications after adult-to-adult living donor liver transplantation. Clin Transplant. 2010;24:535-542.
  23. Lemmer ER, Spearman CW, Krige JE et al. The management of biliary complications following orthotopic liver transplantation. S Afr J Surg. 1997;35:77-81.
  24. Lerut J, Gordon RD, Iwatsuki S, Esquivel CO, Todo S, Tzakis A, Starzl TE. Biliary tract complications in human orthotopic liver transplantation. Transplantation. 1987;43: 47-51.
  25. Lerut J, Gordon RD, Iwatsuki S et al. Biliary tract complications in 393 human orthotopic liver transplantation. Transplantation. 1986;1:47-51.
  26. Lerut J, Demetris AJ, Strieber AC et al. Infrahepatic bile duct strictures after human orthotopic liver transplantation: recurrence of primary sclerosing cholangitis or unusual presentation of alograft rejection. Transpl Int. 1998;1:1-10.
  27. Liu CL, Lo CM, Fan ST. What is the best technique for right hemiliver living donor liver transplantation? With or without the middle hepatic vein? Duct-to-duct biliary anastomosis or Roux-en-Y hepaticojejunostomy? Journal of Hepatology. 2005;43:17-22.
  28. Lorenz JM, Funaki B, Leef JA, Rosenblum JD, Van Ha T. Percutaneous transhepatic cholangiography and biliary drainage in pediatric liver transplant patients. Am J Roentgenol. 2001;176:761-765.
  29. Lorenz JM, Denison G, Funaki B et al. Balloon dilatation of biliary-enteric strictures in children. Am J Roentgenol. 2005;184(1):151-155.
  30. Marubashi S, Nagano H, Yamanouchi E, Kobayashi S, Eguchi H, Takeda Y, Tanemura M, Maeda N, Tomoda K, Hikita H, Tsutsui S, Doki Y, Mori M. Salvage cystic duct anastomosis using a magnetic compression technique for incomplete bile duct reconstruction in living donor liver transplantation. Liver Transplantation. 2010;16:33-37.
  31. McDonald V, Matalon TA, Patel SK, Brunner MC, Sankary H, Foster P. Biliary strictures in hepatic transplantation. J of Vasc and Intervent Radiol. 1991;2:533.
  32. Millis JM, Cronin DC, Brady LM, Newell KA, Woodle ES, Bruce DS et al. Primary living-donor liver transplantation at the University of Chicago. Ann Surg. 2000;232:104-111.
  33. Miraglia R, Maruzzelli L, Caruso S et al. Percutaneous management of biliary strictures after pediatric liver transplantation. Cardiovasc Intervent Radiol. 2008;31(5):993-998.
  34. Moreira AM, Carnevale FC, Tannuri U, Suzuki L, Gibelli N, Maksoud JG et al. Longterm results of percutaneous bilioenteric anastomotic stricture treatment in liver transplanted children. Cardiovasc Intervent Radiol. 2010;33(1):90-96.
  35. Moser MA, Wall WJ. Management of biliary problems after liver transplantation. Liver Transpl. 2001;7(suppl 1):46-52.
  36. Porrett PM, Hsu J, Shaked A. Late surgical complications following liver transplantation. Liver Transplantation. 2009;15:12-18.
  37. Racadio JM, Kukreja K. Pediatric biliary interventions. Tech Vasc Interv Radiol. 2010;13(4):244-249.
  38. Reichert PR, Renz JF, Rosenthal P, Bacchetti P, Lim RC, Roberts JP et al. Biliary сomplications of reduced-organ liver transplantation. Liver Transpl Surg. 1998;4:343-349.
  39. Rizk RS, McVicar JP, Emond MJ, Rohmann CA, Kowdley KV, Perkins J et al. Endoscopic management of biliary strictures in liver transplant recipients: effect on patient and graft survival. Gastrointest Endosc. 1998;47:128-135.
  40. Rossi A, Grosso C, Zanzi G, Gambitta P, Bini M, DeCarlis L. Long-term efficacy of endoscopic stenting in patients with stricture of the biliary anastomosis after orthotopic liver transplantation. Endoscopy. 1998;30:360-366.
  41. Saleem A, Baron TH. Successful endoscopic treatment of biliary cast syndrome in an orthotopic liver transplant patient with a Roux-en-Y anastomosis via balloon enteroscopy. Liver Transpl. 2010;16:527-529.
  42. Sanchez-Urdazpal L, Gores GJ, Ward EM, Maus TP, Buckel EG, Steers JL et al. Diagnostic features and clinical outcome of ischemic-type biliary complications after liver transplantation. Hepatology. 1993;17:605-609.
  43. Schwarzenberg SJ, Sharp HL, Payne WD et al. Biliary stricture in living-related donor liver transplantation: management with balloon dilation. Pediatr Transplant. 2002;6(2):132-135.
  44. Scudamore CH. Late biliary tract complications. In Calne RY, ed. Liver transplantation. London: Grune & Stratton; 1983;327-341.
  45. Seehofer D, Eurich D, Veltzke-Schlieker W, Neuhaus P. Biliary complications after liver transplantation. Old problems and new challenges. American Journal of Transplantation. 2013;13(2):253-265.
  46. Seo JK, Ryu JK, Lee SH, Park JK, Yang KY, Kim YT et al. Endoscopic treatment for biliary stricture after adult living donor liver transplantation. Liver Transpl. 2009;15:369-380.
  47. Shah SA, Grant DR, McGilvray ID, Greig PD, Selzner M, Lilly LB et al. Biliary strictures in 130 consecutive right lobe living donor liver transplant recipients: results of a Western center. Am J Transplant. 2007;7:161-167.
  48. Shokouh-Amiri MH, Grewal HP, Vera SR, Stratta RJ, Bagous W, Gaber AO. Duct-to-duct biliary reconstruction in right lobe adult living donor liver transplantation. J Am Coll Surg. 2001;192:798-803.
  49. Sibulesky L, Taner CB, Perry DK, Willingham DL, Nguyen JH. Bile duct stenting in liver transplantation. Transpl Int. 2012;25:45-46.
  50. Soejima Y, Taketomi A, Yoshizumi T, Uchiyama H et al. Biliary strictures in living donor liver transplantation: incidence, management, and technical evolution. Liver Transplantation. 2006;12:979-986.
  51. Stratta RJ, Wood RP, Langnas AN, Hollins RR, Bruder KJ, Donovan JP, Burnett DA et al. Diagnosis and treatment of biliary tract complications after orthotopic liver transplantation. Surgery. 1989;106:675-684.
  52. Sunku B, Salvalaggio PR, Donaldson JS et al. Outcomes and risk factors for failure of radiologic treatment of biliary strictures in pediatric liver transplantation recipients. Liver Transpl. 2006;12(5):821-826.
  53. Tabibian JH, Asham EH, Han S, Saab S, Tong MJ, Goldstein L et al. Endoscopic treatment of postorthotopic liver transplantation anastomotic biliary strictures with maximal stent therapy (with video). Gastrointest Endosc. 2010;71:505-512.
  54. Takatsuki M, Eguchi S, Tokai H, Hidaka M, Soyama A, Tajima Y, Kanematsu T. A secured technique for bile duct division during living donor right hepatectomy. Liver Tranplantation. 2006;12:1435-1436.
  55. Tashiro H, Itamoto T, Sasaki T, Ohdan H, Fudaba Y, Amano H et al. Biliary complications after duct-to-duct biliary reconstruction in living-donor liver transplantation: causes and treatment. World J Surg. 2007;31:2222-2229.
  56. Testa G, Malago M, Valenti´n-Gamazo C, Lindell G, Broelsch CE. Biliary Anastomosis in Living Related Liver Transplantation Using the Right Liver Lobe: Techniques and Complications. Liver Transplantation. 2000;6:6:710-714.
  57. Testa G, Malago M, Porubsky M, Marinov M, Sankary H, Oberholzer J et al. Hilar early division of the hepatic duct in living donor right hepatectomy: the probe-and-clamp technique. Liver Transpl. 2006;12:1337-1341.
  58. Testa G, Malago M, Broelsch CE. Complications of biliary tract in liver transplantation. World J Surg. 2001;25:1296-1299.
  59. Todo S, Furukawa H, Kamiyama T. How to prevent and manage biliary complications in living donor liver transplantation? Journal of Hepatology. 2005;43:22-27.
  60. Vallera RA, Cotton PB, Clavien PA. Biliary reconstruction for liver transplantation and management of biliary complications: overview and survey of current practices in the United States. Liver Transpl Surg. 1995;1:143-152.
  61. Verdonk RC, Buis CI, Porte RJ, van der Jagt EJ, Limburg AJ, van den Berg AP et al. Anastomotic biliary strictures after liver transplantation: causes and consequences. Liver Transpl. 2006;12:726-735.
  62. Wang S, Huang Z, Chen X. Biliary complications after living donor liver transplantation. Liver Transplant. 2011;17:1127-1136.
  63. Wolfsen H, Porayko MK, Hughes RH, Gostout CJ, Krom RAF, Wiesner RH. Role of endoscopic retrograde cholangiopancreatography after orthotopic liver transplantation. Am J Gastroenterol. 1992;87:955.
  64. Zarghouni M, Cura M, Kim PTW, Testa G, Klintmalm GB. Segmental biliary duct N-butyl cyanoacrylate ablation in a transplant liver for a biliary leak after hepaticojejunostomy. Liver Transplantation. 2014;20:739-741.
  65. Zimmerman MA, Baker T, Goodrich NP, Freise C, Hong JC, Kumer S et al. Development, management, and resolution of biliary complications after living and deceased donor liver transplantation: a report from the Adult-to-Adult Living Donor Liver Transplantation Cohort Study consortium. Liver Transpl. 2013;19:259-267.
  66. Zoepf T, Maldonado de Dechene EJ, Dechene A, Malago M, Beckebaum S, Paul A et al. Optimized endoscopic treatment of ischemic-type biliary lesions after liver transplantation. Gastrointest Endosc. 2012;76:556-563.

Close metadata

Contact the author
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Contact us
If you have any questions, complaints or suggestions, please use this feedback form.
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.
Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
Registration
E-mail
Password
Forgot Password?

Log in to the site using your account in one of the services

Password recovery
E-mail
Login
Register


We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.