The bile duct reconstruction in living donor liver transplantation -duct-to-duct anastomosis and Roux-en-Y hepaticojejunostomy-

Abstract

The biliary complication remains the Achilles' heel of living donor liver transplantation and is the most common cause of postoperative morbidity. The complication significantly affects the quality of life of the liver transplant recipients and is occasionally the cause of graft or patient loss. There are two major procedures of bile duct reconstruction, duct-to-duct and Roux-en-Y hepaticojejunostomy. Several investigators suggested that the use of duct-to-duct biliary anastomosis tend to observe an increased risk of biliary stricture and a decrease risk of biliary leakage compared with patients who underwent Roux-en-Y hepaticojejunostomy. However, further studies are necessary.