Magnetic Compression Duct-to-duct Anastomosis for Biliary Obstruction in a Patient with Living Donor Liver Transplantation.
- Author:
Takao ITOI
1
;
Eigoro YAMANOUCHI
;
Nobuhito IKEUCHI
;
Kazuhiko KASUYA
;
Hitoshi IWAMOTO
;
Akihiko TSUCHIDA
Author Information
1. Departments of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan. itoi@tokyo-med.ac.jp
- Publication Type:Case Report
- Keywords:
Magnetic compression anastomosis;
Biliary stricture;
Biliary obstruction;
Choledochocholedochostomy;
Choledochoenterostomy
- MeSH:
Constriction, Pathologic;
Drainage;
Endoscopes;
Humans;
Liver;
Liver Transplantation;
Living Donors;
Magnetics;
Magnets
- From:Gut and Liver
2010;4(Suppl 1):S96-S98
- CountryRepublic of Korea
- Language:English
-
Abstract:
Magnetic compression anastomosis (MCA) is a minimally invasive method of performing choledochocholedochostomy without surgery in patients with biliary stricture or obstruction. We describe a successful case involving magnetic compression duct-to-duct biliary reconstruction in right-lobe living donor liver transplantation (RL-LDLT). Endoscopically, a samarium-cobalt (Sm-Co) rare-earth magnet was placed at the superior site of obstruction via the percutaneous transhepatic biliary drainage route, and another Sm-Co magnet was also placed at the inferior site of obstruction with the aid of an endoscope. MCA techniques enabled complete anastomosis without procedure-related complications. In conclusion, the MCA technique is a revolutionary method of performing choledochocholedochostomy in patients with biliary obstruction after LDLT.
