In ohotropic liver transplantation, which is the best way to get bile drainage in donor&;s liver
Liver transplant is becoming popular for cirrhosis with varices. It is ideal, final and best. But donor availability and cost is the problem. If patient is for ohotopic liver transplantation (OLT), open shunt surgeries should not be done as liver hilum should be kept virgin for effective transplantation. TIPSS can be done as a bridge in such patients. Ref: SRB&;s manual of surgery,3 rd ed, pg no 555
Donor bile duct with recipient bile duct or Roux en Y choledochojejunostomy
Donor bile duct with duodenum of recipient
Donor bile duct with jejunum of recipient
External drainage for few days followed by choledochojejunostomy
G.I.T