Detailed Abstract
[Liver Oral Presentation 2 - Liver (Transplantation)]
[LV OP 2-S5] Impact of Non-Stenting Eversion Technique in Biliary Stricture Incidence Post-LDLT: a Critical Analysis
Ju-Eun SHIM 1, Seok-Hwan KIM 1, In-Sang SONG 1, Gwang-Sik CHUN 1, Sun-Jong HAN 1
1 HepatoBiliary Pancreas Surgery, Chungnam National University Hospital, REPUBLIC OF KOREA
Background : This study delves into the non-stenting eversion technique's effectiveness in living donor liver transplantation (LDLT) and its role in minimizing the incidence of biliary strictures. Biliary strictures present a significant postoperative challenge in LDLT, affecting patient outcomes and healthcare systems.
Methods : We conducted a retrospective analysis of 84 LDLT cases, focusing on 75 patients who underwent LDLT using the non-stenting eversion technique. The study meticulously recorded the incidence of biliary strictures and the necessity for interventions like percutaneous transhepatic biliary drainage (PTBD) or endoscopic retrograde biliary drainage (ERBD).
Results : Among the 75 patients, 12 (14.3%) developed biliary strictures that required intervention. Additionally, three (4%) patients encountered bile leakage, necessitating percutaneous catheter (PCD) insertion. These incidences were critically compared with existing data on traditional stenting techniques.
Conclusions : The findings indicate that the non-stenting eversion technique in LDLT holds a comparative efficacy to traditional stenting methods, with a parallel incidence rate of biliary strictures. The technique emerges as a viable and potentially safer alternative to managing biliary complications, significantly advancing surgical methods in LDLT. This study underscores the importance of ongoing research and innovation in surgical practices to enhance transplant outcomes and reduce complications
Methods : We conducted a retrospective analysis of 84 LDLT cases, focusing on 75 patients who underwent LDLT using the non-stenting eversion technique. The study meticulously recorded the incidence of biliary strictures and the necessity for interventions like percutaneous transhepatic biliary drainage (PTBD) or endoscopic retrograde biliary drainage (ERBD).
Results : Among the 75 patients, 12 (14.3%) developed biliary strictures that required intervention. Additionally, three (4%) patients encountered bile leakage, necessitating percutaneous catheter (PCD) insertion. These incidences were critically compared with existing data on traditional stenting techniques.
Conclusions : The findings indicate that the non-stenting eversion technique in LDLT holds a comparative efficacy to traditional stenting methods, with a parallel incidence rate of biliary strictures. The technique emerges as a viable and potentially safer alternative to managing biliary complications, significantly advancing surgical methods in LDLT. This study underscores the importance of ongoing research and innovation in surgical practices to enhance transplant outcomes and reduce complications
SESSION
Liver Oral Presentation 2
Room F 3/22/2024 4:30 PM - 5:30 PM