The Experts below are selected from a list of 309 Experts worldwide ranked by ideXlab platform

Masatoshi Makuuchi - One of the best experts on this subject based on the ideXlab platform.

  • T-tube drainage for biliary stenosis after living donor liver transplantation.
    Transplantation, 2006
    Co-Authors: Masao Hashimoto, Yasuhiko Sugawara, Sumihito Tamura, Yoji Kishi, Yuichi Matsui, Junichi Kaneko, Masatoshi Makuuchi
    Abstract:

    The optimal strategies for Bile Duct stenosis after living donor liver transplantation with Duct-to-Duct biliary Reconstruction remain unclear. Patients who underwent liver transplantation with Duct-to-Duct Bile Duct Reconstruction (n=182) and were complicated with biliary stenosis (n=34) were analyzed. Treatment of biliary stenosis was attempted using an endoscopic approach or transhepatic biliary drainage. When this failed, the T-tube drainage technique was indicated. T-tube placement was performed in 14 patients. Intraoperative ultrasonography was performed to identify the Bile Duct. The common Bile Duct was cut open, a Kelly clamp was inserted and the stenotic portion was dilated, and a T-tube was inserted. The patients were scheduled to have the tube removed 1 year after insertion. Complications following T-tube placement or T-tube removal were negligible. The present technique can be an effective therapeutic option when endoscopic treatment is unsuccessful.

  • small Bile Duct Reconstruction of the caudate lobe in living related liver transplantation
    Annals of Surgery, 2002
    Co-Authors: Keiichi Kubota, Tadatoshi Takayama, Keiji Sano, Kiyoshi Hasegawa, Taku Aoki, Yasuhiko Sugawara, Masatoshi Makuuchi
    Abstract:

    ObjectiveTo justify the technique of biliary Reconstruction without mucosa-to-mucosa alignment for reconstructing the caudate lobe Bile Duct.Summary Background DataThe use of a left hepatic lobe graft with the caudate lobe (LHGC) has been introduced to resolve the problem of small-for-size grafts in

Bie Ping - One of the best experts on this subject based on the ideXlab platform.

  • Establishment of an extracorporeal liver resection and partial liver autotransplantation model in rats
    Journal of Shanxi Medical University, 2011
    Co-Authors: Bie Ping
    Abstract:

    Objective To establish a stable rat model of extracorporeal liver resection and partial liver autotransplantation.Methods The rat model of extracorporeal liver resection and partial liver autotransplantation was established by continuous suturing for the hepatic vena cava and portal vein anastomosis,Bile Duct Reconstruction using stents,and liver resection without damage.Results The anhepatic time was(20.14±1.53)min.The survival rate was 91.7% after operation,and one week survival rate was 80%.Conclusion The rat model of extracorporeal liver resection and partial liver autotransplantation can be used as a reliable and stable experimental model with the high survival rate and repeatability.

  • Bile Duct Reconstruction with pedicled umbilical vein graft
    Chinese Journal of Hepatobiliary Surgery, 2004
    Co-Authors: Bie Ping
    Abstract:

    Objective To further summarize the experience in Bile Duct Reconstruction with pedicled umbilical vein graft and analyze its long-term follow-up results. Methods In 21 patients, end-to-end anastomosis between the posterior walls of the Bile Duct, longitudinal sectioning of the anterior walls and repair of the defects of the Bile Duct with pedicled umbilical vein graft were performed. In other 18 patients, the biliary tract was cut open for stricture and then the defects of the Bile Duct was repaired with the pedicled umbilical vein graft. Results There was no peri-operative death. Twenty-five patients had survived for over 7 years after the operation. Normal Bile tract was shown by endoscopic retrograde cholangiopancreatography (ERCP) in 9 cases and venous cholangiography in 1 case. Two patients had slight symptoms of cholangitis. No abnormal symptoms and ultrasonic findings were found in other 10 patients. Conclusions Bile Duct Reconstruction with pedicled umbilical vain graft is a good procedure for repair of Bile Duct defects.

Hayato Hikita - One of the best experts on this subject based on the ideXlab platform.

  • salvage cystic Duct anastomosis using a magnetic compression technique for incomplete Bile Duct Reconstruction in living donor liver transplantation
    Liver Transplantation, 2010
    Co-Authors: Shigeru Marubashi, Hiroaki Nagano, Eigoro Yamanouchi, Shogo Kobayashi, Hidetoshi Eguchi, Yutaka Takeda, Masahiro Tanemura, Noboru Maeda, Kaname Tomoda, Hayato Hikita
    Abstract:

    In living donor liver transplantation (LDLT), Bile Duct Reconstruction is often technically demanding due to the frequently anomalous anatomy of the Bile Duct, as well as the high incidence of biliary complications. A Bile Duct branch may also be accidentally left without anastomosis at the time of LDLT and found to be obstructed after surgery. Surgical revision for such cases is sometimes not feasible because of the invasiveness of the procedure. We report a case in which a Bile Duct branch was intentionally left without anastomosis and was later successfully anastomosed to the cystic Duct stump using a magnetic compression anastomosis (MCA) technique. A combination of the MCA technique and cystic Duct anastomosis is life-saving in certain situations and should be considered as the treatment of choice. Liver Transpl 16:33–37, 2010. © 2009 AASLD.

  • Salvage cystic Duct anastomosis using a magnetic compression technique for incomplete Bile Duct Reconstruction in living donor liver transplantation.
    Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation S, 2009
    Co-Authors: Shigeru Marubashi, Hiroaki Nagano, Eigoro Yamanouchi, Shogo Kobayashi, Hidetoshi Eguchi, Yutaka Takeda, Masahiro Tanemura, Noboru Maeda, Kaname Tomoda, Hayato Hikita
    Abstract:

    In living donor liver transplantation (LDLT), Bile Duct Reconstruction is often technically demanding due to the frequently anomalous anatomy of the Bile Duct, as well as the high incidence of biliary complications. A Bile Duct branch may also be accidentally left without anastomosis at the time of LDLT and found to be obstructed after surgery. Surgical revision for such cases is sometimes not feasible because of the invasiveness of the procedure. We report a case in which a Bile Duct branch was intentionally left without anastomosis and was later successfully anastomosed to the cystic Duct stump using a magnetic compression anastomosis (MCA) technique. A combination of the MCA technique and cystic Duct anastomosis is life-saving in certain situations and should be considered as the treatment of choice.

Suk-koo Lee - One of the best experts on this subject based on the ideXlab platform.

  • Bile Duct Reconstruction by a Young Surgeon in Living Donor Liver Transplantation Using Right Liver Graft
    2016
    Co-Authors: Suk-koo Lee
    Abstract:

    Abstract: Biliary strictures and Bile leaks account for the majority of biliary complications after living donor liver transplantation (LDLT). The aim of this study was to examine differences in biliary complications after adult LDLTs were performed by an experienced senior surgeon and an inexperienced junior surgeon. Surgeries included Bile Duct Reconstruction after adult LDLT using a right liver graft, and risk factors for biliary stricture were identified. We retrospectively reviewed the medical records of 136 patients who underwent LDLT in order to identify patients who developed biliary complications. The senior surgeon performed 102 surgeries and the junior surgeon performed 34 surgeries. The proportion of patients with biliary stricture was similar between the senior and the junior surgeons (27.5 % vs 26.5%; P 0.911). However, the incidence of biliary leakage was higher in patients of the junior surgeon than i

  • Bile Duct Reconstruction by a young surgeon in living donor liver transplantation using right liver graft.
    Medicine, 2014
    Co-Authors: Jong Man Kim, Wontae Cho, Choon Hyuck David Kwon, Jae-won Joh, Jae Berm Park, Mi Sook Gwak, Gaab Soo Kim, Sung-joo Kim, Suk-koo Lee
    Abstract:

    Biliary strictures and Bile leaks account for the majority of biliary complications after living donor liver transplantation (LDLT). The aim of this study was to examine differences in biliary complications after adult LDLTs were performed by an experienced senior surgeon and an inexperienced junior surgeon. Surgeries included Bile Duct Reconstruction after adult LDLT using a right liver graft, and risk factors for biliary stricture were identified. We retrospectively reviewed the medical records of 136 patients who underwent LDLT in order to identify patients who developed biliary complications. The senior surgeon performed 102 surgeries and the junior surgeon performed 34 surgeries. The proportion of patients with biliary stricture was similar between the senior and the junior surgeons (27.5% vs 26.5%; P = 0.911). However, the incidence of biliary leakage was higher in patients of the junior surgeon than in those of the senior surgeon (23.5% vs 2.9%; P = 0.001). The frequency of percutaneous drainage was also higher for the junior surgeon than the senior surgeon because of the junior surgeon’s high leakage rate of the drainage. When the junior surgeon performed Bile Duct anastomosis, biliary leakage occurred in 7 patients between the 11th and 20th cases. However, biliary leakage occurred in only 1 case thereafter. Bile Duct Reconstruction performed by beginner surgeons in LDLT using right lobe grafts should be cautiously monitored and observed by a senior surgeon until an inexperienced junior surgeon has performed at least 20 cases, because of the high incidence of biliary leakage related to surgeon’s inexperience in Bile Duct Reconstructions in LDLT.

Shigeru Marubashi - One of the best experts on this subject based on the ideXlab platform.

  • salvage cystic Duct anastomosis using a magnetic compression technique for incomplete Bile Duct Reconstruction in living donor liver transplantation
    Liver Transplantation, 2010
    Co-Authors: Shigeru Marubashi, Hiroaki Nagano, Eigoro Yamanouchi, Shogo Kobayashi, Hidetoshi Eguchi, Yutaka Takeda, Masahiro Tanemura, Noboru Maeda, Kaname Tomoda, Hayato Hikita
    Abstract:

    In living donor liver transplantation (LDLT), Bile Duct Reconstruction is often technically demanding due to the frequently anomalous anatomy of the Bile Duct, as well as the high incidence of biliary complications. A Bile Duct branch may also be accidentally left without anastomosis at the time of LDLT and found to be obstructed after surgery. Surgical revision for such cases is sometimes not feasible because of the invasiveness of the procedure. We report a case in which a Bile Duct branch was intentionally left without anastomosis and was later successfully anastomosed to the cystic Duct stump using a magnetic compression anastomosis (MCA) technique. A combination of the MCA technique and cystic Duct anastomosis is life-saving in certain situations and should be considered as the treatment of choice. Liver Transpl 16:33–37, 2010. © 2009 AASLD.

  • Salvage cystic Duct anastomosis using a magnetic compression technique for incomplete Bile Duct Reconstruction in living donor liver transplantation.
    Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation S, 2009
    Co-Authors: Shigeru Marubashi, Hiroaki Nagano, Eigoro Yamanouchi, Shogo Kobayashi, Hidetoshi Eguchi, Yutaka Takeda, Masahiro Tanemura, Noboru Maeda, Kaname Tomoda, Hayato Hikita
    Abstract:

    In living donor liver transplantation (LDLT), Bile Duct Reconstruction is often technically demanding due to the frequently anomalous anatomy of the Bile Duct, as well as the high incidence of biliary complications. A Bile Duct branch may also be accidentally left without anastomosis at the time of LDLT and found to be obstructed after surgery. Surgical revision for such cases is sometimes not feasible because of the invasiveness of the procedure. We report a case in which a Bile Duct branch was intentionally left without anastomosis and was later successfully anastomosed to the cystic Duct stump using a magnetic compression anastomosis (MCA) technique. A combination of the MCA technique and cystic Duct anastomosis is life-saving in certain situations and should be considered as the treatment of choice.