Park So Hyun, Kim Kyoung Won, Kim Bohyun, Lee So Jung, Lee Jong Seok, Kim Hyoung Jung, Song Gi-Won, Lee Sung-Gyu, Jeong Woo Kyoung
Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea
Acta Radiol. 2016 Apr;57(4):401-12. doi: 10.1177/0284185115584814. Epub 2015 May 13.
Right-lobe living donor liver transplantation (RL-LDLT) is a common method devised in order to fulfill the demands of donor organ shortage in adult patients with end-stage liver diseases. However, biliary complications remain as the "Achilles' heel" of RL-LDLT, with wide variety of incidence among transplantation centers. Patients with biliary complications after RL-LDLT may have similar clinical presentations to those with other causes of graft dysfunction. Therefore, radiological evaluation plays a key role for differential diagnosis of such complications. In this article, we discuss the various methods of biliary reconstruction and imaging findings of common and uncommon biliary complications in recipients of RL-LDLT.
右半肝活体肝移植（RL-LDLT）是为满足终末期肝病成年患者供体器官短缺的需求而设计的一种常用方法。然而，胆道并发症仍然是RL-LDLT的“阿喀琉斯之踵”，在各移植中心的发生率差异很大。RL-LDLT术后发生胆道并发症的患者可能具有与其他移植肝功能障碍原因患者相似的临床表现。因此，影像学评估在这类并发症的鉴别诊断中起着关键作用。在本文中，我们讨论了RL-LDLT受者胆道重建的各种方法以及常见和罕见胆道并发症的影像学表现。
