Results of using the cystic duct for reconstruction of one of the multiple bile ducts in right lobe living donor liver transplantation

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dc.authoridAyhan Dinçkan / 0000-0003-1395-333Xen_US
dc.authoridEryiğit Eren / 0000-0001-6705-4095
dc.authoridMehmet Tokaç / 0000-0002-7278-0937
dc.authoridTaylan Şahin / 0000-0003-1992-6965
dc.authoridHakan Parlak / 0000-0002-9986-417X
dc.authorscopusidEryiğit Eren / 57196573309
dc.authorscopusidMehmet Tokaç / 57191339388
dc.authorscopusidTaylan Şahin / 52464396900
dc.authorscopusidAyhan Dinçkan / 8656794300
dc.authorwosidEryiğit Eren / IZM-9701-2023
dc.authorwosidMehmet Tokaç / JJA-5650-2023
dc.authorwosidTaylan Şahin / AAT-4038-2020
dc.authorwosidHakan Parlak / FRG-4280-2022
dc.authorwosidAyhan Dinçkan / AAO-2633-2020
dc.contributor.authorÖzçelik, Ümit
dc.contributor.authorEren, Eryiğit
dc.contributor.authorTokaç, Mehmet
dc.contributor.authorŞahin, Taylan
dc.contributor.authorParlak, Hakan
dc.contributor.authorDinçkan, Ayhan
dc.date.accessioned2021-07-13T06:55:39Z
dc.date.available2021-07-13T06:55:39Z
dc.date.issued2021en_US
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractAbstract Background: In right-lobe liver grafts, variations in the biliary tree anatomy can result in multiple bile duct orifices. We present our experience of 10 patients in which biliary reconstruction was performed with the cystic duct for 1 of the anastomoses with 2 separated ducts. Also, we investigated whether the bile duct anastomosis technique, number of bile duct anastomoses, and use of biliary stents affect the rate of biliary complications. Methods: We evaluated patients who underwent right-lobe living donor liver transplantation (LDLT) at İstinye University Hospital and İstanbul Aydın University Hospital between December 2017 and June 2020. The patients were divided into 4 groups: duct-to-duct (D-D), duct-to-sheath, double duct-to-duct, and duct-to-duct plus cystic duct-to-duct. Biliary complication rates were compared among these 4 groups, between single- and double-duct groups, and between stent (+) and stent (?) groups. Results: Ninety-three patients who underwent right-lobe LDLT (60 men, 33 women) with a mean age of 51 ± 13 years were included. Mean follow-up time was 18.5 ± 8.3 months. The overall biliary complication rate was 17.2% for all patients, 12.1% for the D-D (single-duct) group (33 patients), 16.1% for the duct-to-sheath group (31 patients), 26.3% for the double duct-to-duct group (19 patients), 20% for the duct-to-duct plus cystic duct-to-duct group (10 patients), 20% for the double-duct group (60 patients), 14.5% for the stent (+) group (69 patients), and 25% for the stent (?) group (24 patients). There were no significant differences among these groups in terms of biliary complication rates. Bile stricture occurred in only 1 cystic duct anastomosis (10%), and no bile leakage was observed. Conclusions: Multiple D-D biliary reconstruction using the cystic duct with external drainage tubes is feasible and safe for LDLT.en_US
dc.identifier.citationÖzçelik, Ü., Eren, E., Tokaç, M., Şahin, T., Parlak, H., & Dinçkan, A. (2021, July). Results of Using the Cystic Duct for Reconstruction of One of the Multiple Bile Ducts in Right Lobe Living Donor Liver Transplantation. In Transplantation Proceedings. Elsevier.en_US
dc.identifier.doi10.1016/j.transproceed.2021.06.005en_US
dc.identifier.issn0041-1345en_US
dc.identifier.pmid34233848en_US
dc.identifier.scopus2-s2.0-85109162166en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.urihttps://doi.org/10.1016/j.transproceed.2021.06.005
dc.identifier.urihttps://hdl.handle.net/20.500.12713/1914
dc.identifier.wosWOS:000687331700030en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorEren, Eryiğit
dc.institutionauthorTokaç, Mehmet
dc.institutionauthorŞahin, Taylan
dc.institutionauthorParlak, Hakan
dc.institutionauthorDinçkan, Ayhan
dc.language.isoenen_US
dc.publisherElsevier Inc.en_US
dc.relation.ispartofTransplantation Proceedingsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.titleResults of using the cystic duct for reconstruction of one of the multiple bile ducts in right lobe living donor liver transplantationen_US
dc.typeArticleen_US

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