Evidence map›Paper›PMID 42782323›Full record

ArticleSurgery today2026

Clinical feasibility of direct cholangiography via a PTGBD tube during laparoscopic living-donor hepatectomy.

Takeo Toshima, Shinji Itoh, Atsuhisa Fukuta, Toshiharu Matsuura, Tatsuro Tajiri, Tomoharu Yoshizumi

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Article in Surgery today, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Takeo ToshimaDepartment of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.
Shinji ItohDepartment of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan. itoh.shinji.453@m.kyushu-u.ac.jp.
Atsuhisa FukutaDepartment of Pediatric Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Toshiharu MatsuuraDepartment of Pediatric Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Tatsuro TajiriDepartment of Pediatric Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Tomoharu YoshizumiDepartment of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposesAccurate biliary visualization is essential for laparoscopic living-donor hepatectomy. We evaluated the feasibility of PTGBD-based direct cholangiography through percutaneous gallbladder puncture during pure laparoscopic left lateral sectionectomy (Lap-LLS) in living donor liver transplantation (LDLT).

methodsFrom February 2023 to December 2025, 31 LDLTs using left lateral section grafts were performed at our institution. PTGBD-based transgallbladder direct cholangiography was performed to delineate the biliary anatomy and assess the bile duct transection line in relation to the hepatic duct bifurcation.

resultsDirect cholangiography via gallbladder puncture was successfully performed in 30 donors, excluding the initial case, providing clear and repeatable visualization of the biliary anatomy. This technique enables reliable and repeated confirmation of safe bile duct division. No donor stump leakage, stricture, or recipient anastomotic leakage or stricture occurred postoperatively.

conclusionsPTGBD-based direct cholangiography is a feasible adjunct to pure Lap-LLS and it may facilitate precise bile duct division in minimally invasive LDLT.

Indexed as

Direct cholangiographyLeft lateral section graftLiving-donor liver transplantation

Identifiers

PMID42782323

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