J Korean Soc Transplant.  1999 Dec;13(2):209-212.

A Technique for Bile Duct-Duodenal Anastomosis at the Consecutive Rat Liver Transplantation

Affiliations
  • 1Department of Surgery, Kosin University College of Medicine, Pusan, Korea.

Abstract

In rat liver transplantation, the bile duct reconstruction has been consisted of either use of intraductal tubing or direct implantation into the intestine. In our consecutive liver transplant studies, neither of those techniques was properly adoptable because of repeated transplantation of the liver. In order to alleviate or to minimize the unseen problems with the conventional technique, the prospective candidates of the transplant recipients were subjected to bile duct ligation at the distal end three days prior to the transplant in order to obtain a dilated duct. This will enable the operator to readily anastomose the bile duct to the duodenum using continuous suture technique with a 9-0 nylon suture. In this study the partial heterotopic liver transplantation model was used with portal inflow only. Several months after the first transplantation severed bile duct from the duodenal mucosa which can be readily reanastomosed to the next recipient.

Keyword

Experimental liver transplantation; Bile duct

MeSH Terms

Animals
Bile Ducts
Bile*
Duodenum
Intestines
Ligation
Liver Transplantation*
Liver*
Mucous Membrane
Nylons
Rats*
Suture Techniques
Sutures
Transplantation
Nylons
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