Reconstruction of two bile ducts in a cloaca fashion in living donor liver transplantation

Marian Porubsky, Enrico Benedetti, Antonio Gangemi, Howard Sankary, Marin Marinov, Jose Oberholzer, Giuliano Testa

Research output: Contribution to journalReview articlepeer-review


The presence of two or more hepatic ducts for biliary anastomosis in adult-to-adult right liver transplantation is not uncommon. In the case described here, the graft had two hepatic ducts: one corresponded anatomically to a normal right hepatic duct and the other ran parallel to the proper hepatic duct and drained into its distal to the cystic duct. Because of the small diameter of both duct orifices and the favorable length of the ducts, a cloaca type reconstruction was performed. This allowed the construction of a single and larger orifice for the biliary anastomosis. In case of multiple hepatic ducts of smaller caliber, this technique represents a practical and effective hepatoplasty allowing a single larger anastomosis in the recipient.

Original languageEnglish (US)
Pages (from-to)284-287
Number of pages4
JournalInternational Surgery
Issue number5
StatePublished - Sep 2008


  • Bile duct reconstruction
  • Living donor liver transplantation

ASJC Scopus subject areas

  • Surgery


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