الفهرس 
Preoperative Assessment of the Recepients and Donor selectionOnly 14 pages are availabe for public view
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Abstract
Summary
Recently, liver transplantation settled to be a real breakthrough in surgery as the only curable treatment to deal with fatal liver diseases.
Living donor liver transplantation (LDLT) is the only available option in Egypt owing to the inactive deceased donor program.
Most of the patients indicated for LDLT do not have the luxury of having an ideal living donor although we have big families in Egypt.
Surgeons of recipient’s operation should occupy refined surgical skills and experience to reduce the risk of complications.
The incidence of BCs ranges from 5.3% to 40.6%. Leaks occur in 0% to 21.9% while strictures occur in 3.7% to 25.3%.
Duct-to-duct anastomosis (D2D) and hepaticojejunostomy (HJ) are the two most common techniques of bile duct anastomosis in LDLT.
D2D is gaining popularity over HJ, because of shorter operative time, fewer septic complications, a better physiologic gastrointestinal function and rapid recovery beside easier endoscopic approach to the reconstructed biliary tract.
In our study we compared the biliary outcome of D2D biliary reconstruction vs HJ biliary reconstruction on 20 patients for each group, we found that there was no statistically significant predominance of a technique over the other and this problem is multifactorial and we can’t identify single risk factor to avoid.
Although D2D has some advantages over HJ as regard sepsis and easier access for ERCP if needed, Liver Transplantation surgeons should be able to well perform both techniques and the decision should be made case by case.