Magnetic Compression Duct-to-duct Anastomosis for Biliary Obstruction in a Patient with Living Donor Liver Transplantation

被引：30
|
作者：
Itoi, Takao [1 ,2 ]
Yamanouchi, Eigoro [3 ]
Ikeuchi, Nobuhito [1 ,2 ]
Kasuya, Kazuhiko [4 ]
Iwamoto, Hitoshi [5 ]
Tsuchida, Akihiko [4 ]
机构：
[1] Tokyo Med Univ, Dept Gastroenterol, Tokyo 1600023, Japan
[2] Tokyo Med Univ, Dept Hepatol, Tokyo 1600023, Japan
[3] St Marianna Univ, Yokohama Seibu Hosp, Dept Radiol, Yokohama, Kanagawa, Japan
[4] Tokyo Med Univ, Dept Surg 3, Tokyo 1600023, Japan
[5] Tokyo Med Univ, Hachioji Med Ctr, Dept Surg 5, Tokyo 1600023, Japan
来源：
GUT AND LIVER | 2010年 / 4卷
关键词：
Magnetic compression anastomosis; Biliary stricture; Biliary obstruction; Choledochocholedochostomy; Choledochoenterostomy; BILE-DUCT; RECONSTRUCTION; COMPLICATIONS; STRICTURE; STENOSIS;
D O I：
10.5009/gnl.2010.4.S1.S96
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
Magnetic compression anastomosis (MCA) is a minimally invasive method of performing choledochocholedochostomy without surgery in patients with biliary stricture or obstruction. We describe a successful case involving magnetic compression duct-to-duct biliary reconstruction in right-lobe living donor liver transplantation (RL-LDLT). Endoscopically, a samarium-cobalt (Sm-Co) rare-earth magnet was placed at the superior site of obstruction via the percutaneous transhepatic biliary drainage route, and another Sm-Co magnet was also placed at the inferior site of obstruction with the aid of an endoscope. MCA techniques enabled complete anastomosis without procedure-related complications. In conclusion, the MCA technique is a revolutionary method of performing choledochocholedochostomy in patients with biliary obstruction after LDLT. (Gut Liver 2010;4(Suppl. 1):S96-98)
引用
收藏
页码：S96 / S98
页数：3
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