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The Paul Brousse Technique

Daniel Azoulay, MD,PhD; Guillermo Marin-Hargreaves, MD; Denis Castaing, MD; RenéAdam, MD,PhD; Henri Bismuth, MD

Arch Surg. 2001;136:1197-1200.

Complications relating to the bile ducts are still the single most important technical cause of morbidity following living related liver transplantation. In living related liver transplantation, a single case (of more than 2000 reported cases) of biliary reconstruction by means of a duct-to-duct biliary anastomosis has been reported. The technique of duct-to-duct biliary anastomosis in living related liver transplantation is described herein. The technique can only be used when no tension is applied to the anastomosis and the cut ends of the bile ducts are clearly visible. A Roux-en-Y operation must be performed if these conditions are not fulfilled.

From the Centre Hépato-Biliaire, Assistance Publique-Hôpitaux de Paris, Université Paris Sud, Hôpital Paul Brousse, Villejuif, France.