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.
Shoreem, H., Hegazy, O., Soliman, H., Saleh, S., Yassen, T., Aziz, A., Salama, I., Abuelella, K., Ibrahim, T., Marawan, I., & Tanak, K. (2013). A NEW MODIFIED TECHNIQUE IN CLOSURE OF BILE DUCT STUMP IN LIVING DONOR HEPATECTOMIES. The Egyptian Journal of Surgery, 32(3), 164-171. doi: 10.21608/ejsur.2013.366728
MLA
Hany Shoreem; Osama Hegazy; Hossam Eldeen Soliman; Sherif Saleh; Taha Yassen; Amr M Aziz; Ibrahim Salama; Khaled Abuelella; Tarek Ibrahim; Ibrahim Marawan; Koichi Tanak. "A NEW MODIFIED TECHNIQUE IN CLOSURE OF BILE DUCT STUMP IN LIVING DONOR HEPATECTOMIES", The Egyptian Journal of Surgery, 32, 3, 2013, 164-171. doi: 10.21608/ejsur.2013.366728
HARVARD
Shoreem, H., Hegazy, O., Soliman, H., Saleh, S., Yassen, T., Aziz, A., Salama, I., Abuelella, K., Ibrahim, T., Marawan, I., Tanak, K. (2013). 'A NEW MODIFIED TECHNIQUE IN CLOSURE OF BILE DUCT STUMP IN LIVING DONOR HEPATECTOMIES', The Egyptian Journal of Surgery, 32(3), pp. 164-171. doi: 10.21608/ejsur.2013.366728
VANCOUVER
Shoreem, H., Hegazy, O., Soliman, H., Saleh, S., Yassen, T., Aziz, A., Salama, I., Abuelella, K., Ibrahim, T., Marawan, I., Tanak, K. A NEW MODIFIED TECHNIQUE IN CLOSURE OF BILE DUCT STUMP IN LIVING DONOR HEPATECTOMIES. The Egyptian Journal of Surgery, 2013; 32(3): 164-171. doi: 10.21608/ejsur.2013.366728
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