A Technique for Bile Duct-Duodenal Anastomosis at the Consecutive Rat Liver Transplantation.
- Author:
Chang Hyun YOO
1
Author Information
1. Department of Surgery, Kosin University College of Medicine, Pusan, Korea.
- Publication Type:Original Article
- Keywords:
Experimental liver transplantation;
Bile duct
- MeSH:
Animals;
Bile Ducts;
Bile*;
Duodenum;
Intestines;
Ligation;
Liver Transplantation*;
Liver*;
Mucous Membrane;
Nylons;
Rats*;
Suture Techniques;
Sutures;
Transplantation
- From:The Journal of the Korean Society for Transplantation
1999;13(2):209-212
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
In rat liver transplantation, the bile duct reconstruction has been consisted of either use of intraductal tubing or direct implantation into the intestine. In our consecutive liver transplant studies, neither of those techniques was properly adoptable because of repeated transplantation of the liver. In order to alleviate or to minimize the unseen problems with the conventional technique, the prospective candidates of the transplant recipients were subjected to bile duct ligation at the distal end three days prior to the transplant in order to obtain a dilated duct. This will enable the operator to readily anastomose the bile duct to the duodenum using continuous suture technique with a 9-0 nylon suture. In this study the partial heterotopic liver transplantation model was used with portal inflow only. Several months after the first transplantation severed bile duct from the duodenal mucosa which can be readily reanastomosed to the next recipient.
