개인구독
소속 기관이 없으신 경우, 개인 정기구독을 하시면 저렴하게
논문을 무제한 열람 이용할 수 있어요.
지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2010.12
- 수록면
- 219 - 226 (8page)
이용수
이 논문의 연구 히스토리 (4)
2010
- 이 논문의 후속연구가 궁금하신가요?
- 연관 학술논문 또는 학술발표를 통해 보다 발전된 연구결과를 확인하실 수 있습니다.
- 이 논문의 연구 히스토리 확인하기
초록· 키워드
오류제보하기
Purpose: Despite refinements in the surgical techniques for adult-to-adult living donor liver transplantation (ALDLT), biliary complications still remain the Achilles’ heel of ALDLT. Moreover, there is no consensus for the ideal technique of biliary reconstruction to reduce the rate of complications to an acceptable range. We strove to collate the available data of the current surgical techniques for biliary reconstruction in ALDLT in Korea.
Methods: A questionnaire concerning the surgical techniques for biliary reconstruction was sent to 9 surgeons who performed biliary anastomosis in the major LDLT centers of Korea (the response rate was 100%).
Results: MR cholangiography (n=7) and/or intra-operative cholangiography (n=5) were routinely performed to evaluate the donor biliary anatomy. All the participants (n=9) preferred duct-to-duct anastomosis to hepatico-jejunostomy. Anastomosis was usually made on the whole layer (n=7 epithelium, n=2) of recipient’s common hepatic duct under loupe magnification (n=8); only one center reconstructed the anastomosis on the 2nd order hepatic duct under view of a surgical microscope. There were various techniques for biliary reconstruction as follows: suture material (absorbable: n=5, non-absorbable: n=4), suture method (continuous: n=4, interrupted: n=3, mixed: n=3) and the use of a biliary stent (routine: n=3, sometimes: n=5, rare: n=1). Ductoplasty was performed on the back table (n=7) for the cases with a very close distance (＜5 mm) between the bile ducts’ openings, but each duct was separately anastomosed to the recipients’ bile duct (n=8) or a roux-en-Y limb (n=1) was done in cases with a distance more than 10 mm.
Conclusion: In 9 LDLT centers of Koreas, duct-to-duct was preferred; however, there was no unique consensus, among the major centers, for the biliary reconstruction techniques that might reduce complications.
Methods: A questionnaire concerning the surgical techniques for biliary reconstruction was sent to 9 surgeons who performed biliary anastomosis in the major LDLT centers of Korea (the response rate was 100%).
Results: MR cholangiography (n=7) and/or intra-operative cholangiography (n=5) were routinely performed to evaluate the donor biliary anatomy. All the participants (n=9) preferred duct-to-duct anastomosis to hepatico-jejunostomy. Anastomosis was usually made on the whole layer (n=7 epithelium, n=2) of recipient’s common hepatic duct under loupe magnification (n=8); only one center reconstructed the anastomosis on the 2nd order hepatic duct under view of a surgical microscope. There were various techniques for biliary reconstruction as follows: suture material (absorbable: n=5, non-absorbable: n=4), suture method (continuous: n=4, interrupted: n=3, mixed: n=3) and the use of a biliary stent (routine: n=3, sometimes: n=5, rare: n=1). Ductoplasty was performed on the back table (n=7) for the cases with a very close distance (＜5 mm) between the bile ducts’ openings, but each duct was separately anastomosed to the recipients’ bile duct (n=8) or a roux-en-Y limb (n=1) was done in cases with a distance more than 10 mm.
Conclusion: In 9 LDLT centers of Koreas, duct-to-duct was preferred; however, there was no unique consensus, among the major centers, for the biliary reconstruction techniques that might reduce complications.
목차
서론
방법
결과
고찰
참고문헌
참고문헌 (0)
참고문헌 신청함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
성인 간이식 후에 발생하는 담도계 합병증
Clinical Endoscopy
2006 .01
-
Biliary Stricture after Adult Right-Lobe Living-Donor Liver Transplantation with Duct-to-Duct Anastomosis: Long-Term Outcome and Its Related Factors after Endoscopic Treatment
Gut and Liver
2010 .01
-
성인간 생체 부분 간이식에서의 담도계 합병증
Annals of Surgical Treatment and Research
2001 .08
-
Biliary Reconstruction in Living Donor Liver Transplantation at Ajou University
한국간담췌외과학회 학술대회지
2010 .03
-
Long-term outcome of ischemic type biliary stricture after interventional treatment in liver living donors : a report of two cases
Annals of Hepato-Biliary-Pancreatic Surgery
2015 .05
-
Bile Duct Reconstruction in Living Donor Liver Transplantation
한국간담췌외과학회 학술대회지
2010 .03
-
Donor Morbidity Including Biliary Complication in Living Donor Liver Transplantation : A Single-center Analysis of 827 Cases
한국간담췌외과학회 학술대회지
2010 .04
-
담도계 질환의 임상 고찰
Annals of Surgical Treatment and Research
1997 .12
-
담도패혈증의 동반된 급성 화농성 담관염의 경피적 담배액술
대한방사선의학회지
1993 .01
-
Usefulness of the Rendezvous Technique for Biliary Stricture after Adult Right-Lobe Living-Donor Liver Transplantation with Duct-To-Duct Anastomosis
Gut and Liver
2010 .01
-
Complex percutaneous biliary procedures: Review and contributions of a high volume team
International Journal of Gastrointestinal Intervention
2019 .01
-
Prediction of biliary complication after liver transplantation based on cytokine profile in serum: pilot study
한국간담췌외과학회 학술대회지
2013 .04
-
간이식 후 담관 협착과 화농성 담관염이 동반된 담관 원주 증후군 1예
Clinical Endoscopy
2007 .01
-
경피 경간 담도경술을 통해 성공적으로 제거된 간이식 후 합병된 Biliary Cast
Clinical Endoscopy
2006 .01
-
Comparison of pancreaticoduodenectomy and bile duct resection for middle bile duct cancer : Japan-Korea collaboration study, biliary part
한국간담췌외과학회 학술대회지
2017 .03
-
A Case of Biliary Cast Developed in a Patient with Long-Standing Biliary Sludge
Clinical Endoscopy
2013 .01
-
Duct anastomosis in LDLT : duct to duct vs. hepaticojejunostomy
한국간담췌외과학회 학술대회지
2017 .03
-
담관암종에서 14-3-3 단백의 발현과 14-3-3 유전자의 메틸화
Journal of Pathology and Translational Medicine
2006 .01
-
Surgical Treatment of Biliary Atresia in the Liver Transplantation Era
대한외과학회 학술대회 초록집
1998 .11
-
Long-term Outcome of Endoscopic Retrograde Biliary Drainage of Biliary Stricture Following Living Donor Liver Transplantation
Gut and Liver
2020 .01
이 논문의 저자 정보
이 논문과 함께 이용한 논문
최근 본 자료
댓글(0)
0
UCI(KEPA) : I410-ECN-0101-2014-514-001267683