METHOD FOR RESTORATION OF BILE OUTFLOW IN ORTHOTOPIC TRANSPLANTATION OF LIVER USING CYSTIC DUCT
Method for restoration of bile outflow in orthotopic transplantation of liver using cystic duct may find application in anatomic version characterised by parallel location of cystic and common liver ducts in donor. After cholecystectomy, at the level of bile ducts donor segment intersection, common...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | Russian |
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Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov
2009-05-01
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| Series: | Vestnik Transplantologii i Iskusstvennyh Organov |
| Subjects: | |
| Online Access: | https://journal.transpl.ru/vtio/article/view/245 |
| _version_ | 1797872111424897024 |
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| author | V. N. Polysalov I. O. Rutkin V. V. Borovik F. K. Gerebtsov D. A. Granov |
| author_facet | V. N. Polysalov I. O. Rutkin V. V. Borovik F. K. Gerebtsov D. A. Granov |
| author_sort | V. N. Polysalov |
| collection | DOAJ |
| description | Method for restoration of bile outflow in orthotopic transplantation of liver using cystic duct may find application in anatomic version characterised by parallel location of cystic and common liver ducts in donor. After cholecystectomy, at the level of bile ducts donor segment intersection, common reservoir is formed with application of common liver and cystic ducts by dissection or wedge-shaped excision of partition segment between them. Level of bile ducts donor segment intersection is selected so that diameter of common reservoir coincides with diameter of recipient bile duct, with which biliobiliary anastomosis is formed. Biliobiliary anastomosis is formed as «end to end». If there are mucous and muscular layers in composition of partition between liver and cystic ducts, they are dissected. Edges of mucous layer are sutured. If only mucous layer is present in composition of partition, it is dissected without further suturing. Such approach supply possibility to overcome discrepancy of sutured ducts diameters and provision of bile outflow from liver in the most physiological version with «end to end» anastomosis. |
| first_indexed | 2024-04-10T00:54:43Z |
| format | Article |
| id | doaj.art-f9ad34ec4229450ebd66096d54015b07 |
| institution | Directory Open Access Journal |
| issn | 1995-1191 |
| language | Russian |
| last_indexed | 2024-04-10T00:54:43Z |
| publishDate | 2009-05-01 |
| publisher | Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov |
| record_format | Article |
| series | Vestnik Transplantologii i Iskusstvennyh Organov |
| spelling | doaj.art-f9ad34ec4229450ebd66096d54015b072023-03-13T10:37:19ZrusFederal Research Center of Transplantology and Artificial Organs named after V.I.ShumakovVestnik Transplantologii i Iskusstvennyh Organov1995-11912009-05-01113515510.15825/1995-1191-2009-3-51-55188METHOD FOR RESTORATION OF BILE OUTFLOW IN ORTHOTOPIC TRANSPLANTATION OF LIVER USING CYSTIC DUCTV. N. Polysalov0I. O. Rutkin1V. V. Borovik2F. K. Gerebtsov3D. A. Granov4Federal State Institution «Russian Research Centre of Radiology and Surgical Tehnologies» of the Federal Agency on High Technique Medical Care, Saint-PetersburgFederal State Institution «Russian Research Centre of Radiology and Surgical Tehnologies» of the Federal Agency on High Technique Medical Care, Saint-PetersburgFederal State Institution «Russian Research Centre of Radiology and Surgical Tehnologies» of the Federal Agency on High Technique Medical Care, Saint-PetersburgFederal State Institution «Russian Research Centre of Radiology and Surgical Tehnologies» of the Federal Agency on High Technique Medical Care, Saint-PetersburgFederal State Institution «Russian Research Centre of Radiology and Surgical Tehnologies» of the Federal Agency on High Technique Medical Care, Saint-PetersburgMethod for restoration of bile outflow in orthotopic transplantation of liver using cystic duct may find application in anatomic version characterised by parallel location of cystic and common liver ducts in donor. After cholecystectomy, at the level of bile ducts donor segment intersection, common reservoir is formed with application of common liver and cystic ducts by dissection or wedge-shaped excision of partition segment between them. Level of bile ducts donor segment intersection is selected so that diameter of common reservoir coincides with diameter of recipient bile duct, with which biliobiliary anastomosis is formed. Biliobiliary anastomosis is formed as «end to end». If there are mucous and muscular layers in composition of partition between liver and cystic ducts, they are dissected. Edges of mucous layer are sutured. If only mucous layer is present in composition of partition, it is dissected without further suturing. Such approach supply possibility to overcome discrepancy of sutured ducts diameters and provision of bile outflow from liver in the most physiological version with «end to end» anastomosis.https://journal.transpl.ru/vtio/article/view/245liver transplantationbiliary reconstruction |
| spellingShingle | V. N. Polysalov I. O. Rutkin V. V. Borovik F. K. Gerebtsov D. A. Granov METHOD FOR RESTORATION OF BILE OUTFLOW IN ORTHOTOPIC TRANSPLANTATION OF LIVER USING CYSTIC DUCT Vestnik Transplantologii i Iskusstvennyh Organov liver transplantation biliary reconstruction |
| title | METHOD FOR RESTORATION OF BILE OUTFLOW IN ORTHOTOPIC TRANSPLANTATION OF LIVER USING CYSTIC DUCT |
| title_full | METHOD FOR RESTORATION OF BILE OUTFLOW IN ORTHOTOPIC TRANSPLANTATION OF LIVER USING CYSTIC DUCT |
| title_fullStr | METHOD FOR RESTORATION OF BILE OUTFLOW IN ORTHOTOPIC TRANSPLANTATION OF LIVER USING CYSTIC DUCT |
| title_full_unstemmed | METHOD FOR RESTORATION OF BILE OUTFLOW IN ORTHOTOPIC TRANSPLANTATION OF LIVER USING CYSTIC DUCT |
| title_short | METHOD FOR RESTORATION OF BILE OUTFLOW IN ORTHOTOPIC TRANSPLANTATION OF LIVER USING CYSTIC DUCT |
| title_sort | method for restoration of bile outflow in orthotopic transplantation of liver using cystic duct |
| topic | liver transplantation biliary reconstruction |
| url | https://journal.transpl.ru/vtio/article/view/245 |
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