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W Technique for Biliary Anastomosis in Liver Transplantation

Julio Cesar Wiederkehr, Henrique A Wiederkehr, Bruna Olandoski Erbano, Barbara A Wiederkehr and Caroline A de Carvalho

Biliary anastomoses in Orthotopic liver transplantation (OLT) are considered technically arduous and are accountable for the majority of OLT surgical complications. In this ‘How I do It’ article, we present a new biliary anastomosis technique. It has been performed in our service since 2011 in more than 300 liver transplants. In our series, 5.7% of the patients submitted to duct-to-duct anastomosis with a follow-up greater of 6 months developed biliary complications. Future studies should enhance this surgical technique, in order to minimize the OLT complications.