Living donor liver transplantation for biliary atresia complicated by situs inversus: Technical highlights

Kentaro Matsubara, Yasuhiro Fujimoto, Hideya Kamei, Kohei Ogawa, Mureo Kasahara, Mikiko Ueda, Hiroto Egawa, Yasutsugu Takada, Masaki Kitajama, Koichi Tanaka – 19 October 2005 – Living‐donor liver transplantation (LDLT) has become an established technique to treat children with end‐stage liver disease. Biliary atresia (BA), one of the most common indications for liver transplantation in children, can be associated with situs inversus (SI). In the past, the presence of SI has been considered to be an absolute contraindication for liver transplantation because of the technical difficulties.

Feasibility of using the cystic duct for biliary reconstruction in right‐lobe living donor liver transplantation

Katsuhiro Asonuma, Hideaki Okajima, Mikako Ueno, Takayuki Takeichi, Manuel E. Zeledon Ramirez, Yukihiro Inomata – 19 October 2005 – Duct‐to‐duct biliary reconstruction has been introduced in adult living donor liver transplantation (LDLT). In right‐lobe grafts, however, the presence of two or three separated bile duct orifices is not rare and makes an alternative approach for reconstruction necessary. We used the cystic duct for one of the anastomoses in biliary reconstruction for 5 right‐lobe living donor liver transplants with two separated ducts.

Early perioperative death associated with reexpansion pulmonary edema during liver transplantation

Wagner C. Marujo, Flavio Takaoka, Rita M. A. Moura, Fernando L. Pandullo, Andre R. Morrone, Marcelo M. Linhares, Alexandre Teruya, Isaac Altikes – 19 October 2005 – Hydrothorax is a frequent finding in patients with end‐stage liver disease. During the hepatectomy phase of liver transplantation, it is often needed to evacuate large pleural effusions. The acute expansion of the collapsed lung can cause reexpansion pulmonary edema with variable clinical significance. However, this complication has rarely been reported after liver transplantation.

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