Impact of New Portal Reconstruction Strategy on Portal Vein Growth and Outcomes in Living-Donor Liver Transplantation for Small Children With Biliary Atresia.

ABSTRACT:

Background/purpose

We evaluated the outcomes of a new reconstruction method that we adopted in 2017 for small children with biliary atresia, involving aggressive resection of the sclerotic portal vein (PV), larger anastomotic orifice, and proactive vein graft interposition.

Methods

Data from 85 patients with biliary atresia (excluding one) aged < 3 years who underwent living-donor liver transplantation from January 2011 to December 2022 were retrospectively reviewed. Patients were categorized into former ("before 2017") and latter ("after 2017") groups, comprising 47 and 38 patients, respectively, according to their surgery time.

Results

The percentage of trunk reconstruction cases decreased from 51% to 26%, whereas that of vein graft interposition cases increased fro

SUBMITTER: Aoki H 

PROVIDER: S-EPMC12559877 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature