Reconstructive Surgery for Ischemic-Type Lesions at the Bile Duct Bifurcation After Liver Transplantation

Abstract

The hepatic bifurcation seems to be a predominant site for ischemic-type biliary changes after liver transplantation. Surgical treatment by resection of the bifurcation and reconstruction by high hepaticojejunostomy is a safe and highly effective approach leading to cure or persistent major improvement in most patients.