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KMID : 1188320100040000096
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Gut and Liver
2010 Volume.4 No. 0 p.96 ~ p.98
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Magnetic Compression Duct-to-duct Anastomosis for Biliary Obstruction in a Patient with Living Donor Liver Transplantation
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Itoi Takao
Yamanouchi Eigoro
Ikeuchi Nobuhito
Kasuya Kazuhiko
Iwamoto Hitoshi
Tsuchida Akihiko
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Abstract
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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.
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KEYWORD
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Magnetic compression anastomosis, Biliary stricture, Biliary obstruction, Choledochocholedochostomy, Choledochoenterostomy
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