Roux-en-Y hepatico-jejunostomy for a left segmental graft: Do not twist the loop, stick it!

S. Nadalin, L. Monti, C. Grimaldi, F. Di Francesco, A. E. Tozzi, J. De Ville De Goyet

Research output: Contribution to journalArticlepeer-review


Biliary complications remain a major challenge for long-term success after LT, as it is, as a rule, the most common technical - early and late - complication that occurs, and because these complications contribute to a significant number of late graft losses and retransplantations. In the pediatric age group, both biliary atresia, as the patient's condition, and the use of a left liver graft, obtained by a liver division technique, make it necessary for the use of a Roux-en-Y jejunal loop for the biliary reconstruction in the majority of cases. A slight modification of the technique is presented, consisting of a straight positioning along the cut surface (rather than the conventional position that results in a harpoon shape). A favorable outcome in terms of a technical complication and graft survival was observed. This way of doing this is an interesting variation and adds to the surgical armamentarium.

Original languageEnglish
Pages (from-to)358-365
Number of pages8
JournalPediatric Transplantation
Issue number4
Publication statusPublished - Jun 1 2015


  • biliary reconstruction
  • children
  • complications of liver transplantation
  • pediatric liver transplantation

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Transplantation


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