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

被引：32

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

页码：S96 / S98

页数：3

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