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  • Title: Two-step biliary external stent removal after living donor liver transplantation.
    Author: Eguchi S, Takatsuki M, Hidaka M, Tajima Y, Kanematsu T.
    Journal: Transpl Int; 2008 Jun; 21(6):531-3. PubMed ID: 18282243.
    Abstract:
    Biliary stenting plays an important role in living donor liver transplantation (LDLT) as the rate of biliary complication is higher in LDLT than in diseased donor whole LT. We use a 2-mm tube for stenting at the biliary anastomosis, externalize it through the lower common bile duct, and fistulize it using duodenal serosa. After 3 months without biliary complications ensured by a cholangiogram, the stent tube is removed in a two-step manner, allowing bile to drain under a fluoroscope. The incidence of local peritonitis was lower, and the hospital stay was shorter with the two-step procedure. We herein report on the method of the two-step removal and its efficacy.
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