학술논문

A rare aberrant infraportal B2/3 bile duct of left hepatic lobe graft in living donor / 南回りB2/3胆管を伴う肝左葉グラフトを用いた生体肝移植の一例
Document Type
Journal Article
Source
移植 / Japanese Journal of Transplantation. 2019, 54(6):299
Subject
infraportal B2/3 bile duct
living liver transplantation
Language
Japanese
ISSN
0578-7947
2188-0034
Abstract
During left hepatectomy, the aberrant infraportal B2/3 bile duct was detected and confirmed by the intraoperative cholangiogram. We carefully dissected the hepatic hilum and transected the B2/3 and B4 ducts separately under real-time C-arm cholangiography. These two bile duct orifices were made into one on the back table. Both the donor and recipient were discharged with good post-transplant course without any clinical events. To perform a promising, a safe living donor liver transplantation, a gentle and careful maneuver with well-understanding, knowledge and expectation of the anatomical aberrant findings of the liver are necessary. To be cautiously aware of a rare aberrant anatomy at risk such as infraportal B2/3 bile duct guarantee the safety and high quality of living donor hepatectomy.