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. test, 32(3), 164-171. doi: 10.21608/ejsur.2013.366728
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". test, 32, 3, 2013, 164-171. doi: 10.21608/ejsur.2013.366728
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', test, 32(3), pp. 164-171. doi: 10.21608/ejsur.2013.366728
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. test, 2013; 32(3): 164-171. doi: 10.21608/ejsur.2013.366728

A NEW MODIFIED TECHNIQUE IN CLOSURE OF BILE DUCT STUMP IN LIVING DONOR HEPATECTOMIES

The Egyptian Journal of Surgery
Volume 32, Issue 3, July 2013, Pages 164-171    PDF (1.1 M)
Document Type: Original Article
DOI: 10.21608/ejsur.2013.366728
Authors
Hany Shoreem* 1; Osama Hegazy1; Hossam Eldeen Soliman1; Sherif Saleh1; Taha Yassen1; Amr M Aziz1; Ibrahim Salama1; Khaled Abuelella1; Tarek Ibrahim1; Ibrahim Marawan1; Koichi Tanak2
1Department of HBP Surgery, National Liver Istitute,Menoufiya University, Egypt
2Department of surgery, Kobe (KIFMEC), Japan
Abstract
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. 
Keywords
Liver transplantation; biliary complication; bile duct stump
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