AUTHOR=Yamaguchi Naotaka , Matsuyama Ryusei , Kikuchi Yutaro , Sato Sho , Yabushita Yasuhiro , Sawada Yu , Homma Yuki , Kumamoto Takafumi , Takeda Kazuhisa , Morioka Daisuke , Endo Itaru , Shimada Hiroshi TITLE=Role of the Intramural Vascular Network of the Extrahepatic Bile Duct for the Blood Circulation in the Recipient Extrahepatic Bile Duct Used for Duct-to-Duct-Biliary-Anastomosis in Living Donor Liver Transplantation JOURNAL=Transplant International VOLUME=35 YEAR=2022 URL=https://www.frontierspartnerships.org/journals/transplant-international/articles/10.3389/ti.2022.10276 DOI=10.3389/ti.2022.10276 ISSN=1432-2277 ABSTRACT=
A duct-to-duct-biliary-anastomosis is the preferred biliary reconstruction technique in liver transplantation; biliary complications remain the major concerns for the technique. We examined the significance of the intramural vascular network of the extrahepatic bile duct (EBD) and its relevant vessels. We microscopically examined the axial sections of the EBD with 5 mm intervals of 10 formalin-fixed deceased livers. The luminal-areas of the 3 and 9 o’clock arteries correlated significantly and positively with the distance from the bifurcation of the right and left hepatic ducts (the 3 o’clock artery,