Significant Outcome Of Biliary Anastomosis In Living Related Donor Liver Transplantation

Variations in the anatomy of the intrahepatic bile ducts have long been recognized. Serious consideration of the surgical anatomy of the liver began, however, with the advent of minimally invasive therapeutic intervention for bile duct or hepatic resection, or partial liver transplantation. Thus, accurate knowledge of the anatomy of IHDs is critical. 30 cases were included in this study. Right lobe donation in 27 cases and left lobe donation in 3 cases. The main indication for transplantation was end stage liver disease: hepatitis C end stage liver cirrhosis in 29 cases, while hepatocellular carcinoma on top of liver cirrhosis was the remaining case. Pretransplantation preparation of both donors and recipients was done.No mortality was reported to either any of the donors or the recipients. Postoperative donor biliary complications occurred in 1 case and conservative treatment was followed with complete resolution of the condition .Postoperative recipient biliary complicatioins occurred in eleven cases in the form of biloma, biliary leakage, biliary stricture, cholangitis and peritonitis, six of them with two ducts anastomosis. They were managed and cured without residual pathology.