A thoracoabdominal approach in revision of the hepatic hilum after left lobe living donor liver transplantation.

Honda M, Takeichi T, Ohya Y, Okumura K, Lee KJ, Yamamoto H, Asonuma K, Inomata Y
J Pediatr Surg. 2012 47 (3): e13-6

PMID: 22424370 · DOI:10.1016/j.jpedsurg.2011.11.004

We present an approach to safely expose the hepatic hilum for revision procedures after left lobe living donor liver transplantation. A 14-year-old adolescent girl who had undergone left lobe living donor liver transplantation experienced repeated episodes of cholangitis. Because treatment with interventional techniques failed, surgical revision was indicated. The right thoracoabdominal approach was selected to minimize dissection. Intraoperative findings showed adhesive kinking of the Roux-Y limb just distal to the bilioenteric anastomosis, and a side-to-side jejunojejunostomy was performed. The thoracoabdominal approach leads to easy and excellent reoperative exposure of the hilar site of a left lobe liver graft.

Copyright © 2012 Elsevier Inc. All rights reserved.

MeSH Terms (12)

Adolescent Biliary Atresia Cholangitis Female Humans Jejunostomy Liver Liver Transplantation Living Donors Postoperative Complications Reoperation Thoracotomy

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