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Fig. 9.3. Standard technique. This figure illustrates a completed liver transplantation with vascular and biliary anastomoses.

questioned19 and some centers have elected not to use T-tubes primarily because of an unavoidable rate of biliary leaks following removal of the T-tube, as well as other technical problems associated with the T-tubes. Therefore, an end-to-end choledochocholedochostomy is performed using absorbable interrupted monofilament suture without stenting.(Fig. 9.3) If the recipient bile duct is not appropriate for end-to-end reconstruction, a Roux-en-Y choledochojejunostomy is performed in standard fashion with or without internal stenting.(Table 9.14)

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