Duct-to-Duct Biliary Anastomosis Yields Similar Outcomes to Roux-en-Y Hepaticojejunostomy in Liver Transplantation for XXXX .

@entity1 @entity1157 @entity991 @entity254
BACKGROUND: While Roux-en-Y hepaticojejunostomy (RYH) is the common anastomotic technique for liver transplantation (LT) in @entity1 with @entity991 ( @entity991 ), @entity1157 ( @entity1157 ) reconstruction may be used if the recipient common bile duct is normal. There are conflicting observational data on the rate of success of @entity1157 reconstruction versus RYH, in @entity991 . OBJECTIVES: The aim of this study was to assess the safety and efficacy of @entity1157 @entity254 , compared to RYH reconstruction, among adults transplanted for @entity991 . @entity1 AND METHODS: All adult @entity1 , who underwent primary LT for @entity991 between 1990 and 2012, were evaluated, according to type of biliary reconstruction. Recipient and graft survival, postoperative medical and surgical complications, and postoperative resource utilization rates were compared between the two groups. RESULTS: Totally, 73 @entity1 fulfilled the inclusion criteria. Of them, 58 had RYH and 15 had @entity1157 reconstruction. A total of 53 subjects (73%) were male, with the mean age    standard deviation at LT of 43.3    14.4 years. Rates of recipient mortality, graft failure, biliary complications, acute cellular rejection, and reoperation were similar in both groups. Postoperative cholangiography was used more frequently in @entity1 with @entity1157 reconstruction (33.3% vs. 8.6%, P = 0.026). CONCLUSIONS: In selected recipients with @entity991 , @entity1157 reconstruction is a safe and efficacious technique, with long-term clinical outcomes comparable to RYH.
