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Abstract
LDLT is a solution for various end stage liver diseases & for the
shortage of cadaveric livers.
Proper preoperative evaluation of both donors & recepients is
essential for optimum selection & to minimize postoperative
morbidity & mortality.
Biliary complications are the commenest post LDLT
complications, it includes: leakage,biloma stricture & calculi.
Biliary complications are more common in LDLT than in
cadaveric liver & in RT lobe than in LT lobe due to increased numberof bile ducts to be anastomosed Mortality rate of donors is 0%
Postoperative biliary complications in LDLT is managed by
- Conservative treatment
- PTD
- ERCP
- Ultrasound guided aspiration for biloma
- Surgery