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A NEW MODIFIED TECHNIQUE IN CLOSURE OF BILE DUCT STUMP IN LIVING DONOR HEPATECTOMIES

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Last updated: 05 Jan 2025

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Abstract

Introduction: Donor safety is a critical issue in living donor liver transplantation (LDLT). Biliary complication 
in living donor hepatectomies (LDHs) is still common.
Method: A new modified technique in closure of bile duct stump in LDHs by “using interrupted non 
absorbable sutures and placing of surgical clip below suture line" aiming to decrease the high biliary leak (BL) 
rate.
Results: To evaluate the usefulness of the new technique; it was applied for consecutive 50 donor
hepatectomies and the outcome as regard BL was compared with the 140 previously performed LDH in 
whom BL was reported in 26 donor (18.5%). These 140 patients were divided into 2 groups: 1- Group A (n=94) 
with sump closure using continuous sutures, BL rate was 19.1% (n=18). 2- Group B (n=46) with stump closure 
using interrupted sutures, BL rate was 12.4 (n=8). The 50 donor with the new technique considered as group 
C; minimal conservatively treated BL occur in only 4% (n=2). Management of BL in the 3 groups was studied 
and compared. 
Conclusion: Significant marvelous reduction in BL rate was observed by using the new modified technique in 
closure of bile duct stump during LDH. 

DOI

10.21608/ejsur.2013.366728

Keywords

Liver transplantation, biliary complication, bile duct stump

Authors

First Name

Hany

Last Name

Shoreem

MiddleName

-

Affiliation

Department of HBP Surgery, National Liver Istitute,Menoufiya University, Egypt

Email

-

City

-

Orcid

-

First Name

Osama

Last Name

Hegazy

MiddleName

-

Affiliation

Department of HBP Surgery, National Liver Istitute,Menoufiya University, Egypt

Email

oshegazy2002@yahoo.com

City

-

Orcid

-

First Name

Hossam

Last Name

Soliman

MiddleName

Eldeen

Affiliation

Department of HBP Surgery, National Liver Istitute,Menoufiya University, Egypt

Email

-

City

-

Orcid

-

First Name

Sherif

Last Name

Saleh

MiddleName

-

Affiliation

Department of HBP Surgery, National Liver Istitute,Menoufiya University, Egypt

Email

-

City

-

Orcid

-

First Name

Taha

Last Name

Yassen

MiddleName

-

Affiliation

Department of HBP Surgery, National Liver Istitute,Menoufiya University, Egypt

Email

-

City

-

Orcid

-

First Name

Amr

Last Name

Aziz

MiddleName

M

Affiliation

Department of HBP Surgery, National Liver Istitute,Menoufiya University, Egypt

Email

amraziz055@yahoo.com

City

-

Orcid

0000000212141412

First Name

Ibrahim

Last Name

Salama

MiddleName

-

Affiliation

Department of HBP Surgery, National Liver Istitute,Menoufiya University, Egypt

Email

ibrahim_salama@hotmail.com

City

-

Orcid

-

First Name

Khaled

Last Name

Abuelella

MiddleName

-

Affiliation

Department of HBP Surgery, National Liver Istitute,Menoufiya University, Egypt

Email

-

City

-

Orcid

-

First Name

Tarek

Last Name

Ibrahim

MiddleName

-

Affiliation

Department of HBP Surgery, National Liver Istitute,Menoufiya University, Egypt

Email

tarekibrahim25@yahoo.com

City

-

Orcid

-

First Name

Ibrahim

Last Name

Marawan

MiddleName

-

Affiliation

Department of HBP Surgery, National Liver Istitute,Menoufiya University, Egypt

Email

-

City

-

Orcid

-

First Name

Koichi

Last Name

Tanak

MiddleName

-

Affiliation

Department of surgery, Kobe (KIFMEC), Japan

Email

-

City

-

Orcid

-

Volume

32

Article Issue

3

Related Issue

49108

Issue Date

2013-07-01

Receive Date

2024-07-14

Publish Date

2013-07-01

Page Start

164

Page End

171

Print ISSN

1110-1121

Online ISSN

1687-7624

Article File

EJSUR_Volume 32_Issue 3_Pages 164-171.pdf

PDF . 1.2MB

Link

https://ejsur.journals.ekb.eg/article_366728.html

Detail API

https://ejsur.journals.ekb.eg/service?article_code=366728

Order

366,728

Type

Original Article

Type Code

3,086

Publication Type

Journal

Publication Title

The Egyptian Journal of Surgery

Publication Link

https://ejsur.journals.ekb.eg/

MainTitle

A NEW MODIFIED TECHNIQUE IN CLOSURE OF BILE DUCT STUMP IN LIVING DONOR HEPATECTOMIES

Details

Type

Article

Created At

21 Dec 2024