Accessory left bile duct draining into the stomach: a case description.
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ABSTRACT:
SUBMITTER: Shin H
PROVIDER: S-EPMC10585521 | biostudies-literature | 2023 Oct
REPOSITORIES: biostudies-literature
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Accessory left bile duct draining into the stomach: a case description.
Shin Hyeonsik H Kim Minsoo M Lee Sunyoung S
Quantitative imaging in medicine and surgery 20230829 10
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Project description:BackgroundAlthough laparoscopic living donor left lateral section liver procurements represents an established and safe procedure, there remains much discussion on this topic. In particular, the issue of whether laparoscopic living donor liver procurement increases the difficulty of the surgery and potential complications for recipients continue to confound experts in this field.MethodsIn this report, data from 180 cases of living donor left lateral section liver transplantation patients were analyzed retrospectively. Of these 180 cases, 106 grafts were procured by open surgery and 74 by pure laparoscopic surgery.ResultsWhile surgery durations and blood loss were decreased in donors from the laparoscopic surgery group, increased biliary openings of grafts and relatively high peak aspartate aminotransferase (AST) levels were present in both donors and recipients with this procedure.ConclusionsLaparoscopic living donor left lateral section liver procurement represents a safe and effective procedure for both donors and recipients. However, laparoscopic surgery can more frequently lead to multiple biliary tracts in the graft and its impact on the prognosis of recipients remains uncertain. Use of routine X-ray based intraoperative cholangiography may help to reduce this problem.
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