The biliary anastomosis, typically constructed via choledochocholedochostomy
, remains the most common anatomical site for postoperative complications in LT.
Biliary tract complications after orthotopic liver transplantation with choledochocholedochostomy
anastomosis: Endoscopic findings and results of therapy.
Fogel et al., "Biliary tract complications after orthotopic liver transplantation with choledochocholedochostomy
anastomosis: endoscopic findings and results of therapy," Gastrointestinal Endoscopy, vol.
(3,8) The biliary anastomosis is usually performed in an end-to-end fashion connecting the donor common bile duct to the recipient common hepatic duct, a choledochocholedochostomy
, in an attempt to preserve the functionality of the sphincter of Oddi, thus decreasing the risk of enteric reflux.
The involved vessels include the suprahepatic inferior vena cava, infrahepatic inferior vena cava, portal vein and hepatic artery.[6,7] The biliary reconstruction will be either a choledochocholedochostomy
or one of several biliary-enteric anastomoses.[4,6] If a T-tube was placed during the surgical procedure, a postoperative cholangiogram can be performed to demonstrate the biliary anatomy.