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Operative Technique
October 2001

Duct-to-Duct Biliary Anastomosis in Living Related Liver TransplantationThe Paul Brousse Technique

Author Affiliations

Copyright 2001 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2001

Arch Surg. 2001;136(10):1197-1200. doi:10.1001/archsurg.136.10.1197

Complications relating to the bile ducts are still the single most important technical cause of morbidity following living related liver transplantation. In living related liver transplantation, a single case (of more than 2000 reported cases) of biliary reconstruction by means of a duct-to-duct biliary anastomosis has been reported. The technique of duct-to-duct biliary anastomosis in living related liver transplantation is described herein. The technique can only be used when no tension is applied to the anastomosis and the cut ends of the bile ducts are clearly visible. A Roux-en-Y operation must be performed if these conditions are not fulfilled.