First Department of Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
Liver Transpl. 2012 May;18(5):608-11. doi: 10.1002/lt.23392.
To introduce duct-to-duct biliary anastomosis to conventional temporary auxiliary partial orthotopic liver transplantation (APOLT) using living donor graft for patients with familial amyloid polyneuropathy, we modified the conventional APOLT procedure in a manner characterized by the use of the recipient's common hepatic duct for biliary reconstruction and the preservation of the right posterior section alone for the certain placement of a tube into the corresponding biliary tree for external biliary drainage (modified APOLT). This procedure was performed in 3 patients without biliary complications. No complications associated with the external drainage tube occurred. Here we report the techniques and results for this new procedure.
为了将胆管对胆管吻合术应用于使用活体供体移植物进行的常规临时辅助部分原位肝移植（APOLT），我们以使用受体肝总管进行胆道重建为特点，对常规的 APOLT 手术进行了改良，并仅保留右后叶，以便将管子插入相应的胆道树中进行外部胆道引流（改良 APOLT）。该手术在 3 名患者中进行，无胆道并发症。与外部引流管相关的并发症未发生。本文报告该新手术的技术和结果。
