Duct-to-Duct Versus Roux-en-Y in Liver Transplantation for Primary Sclerosing Cholangitis: When Evidence Leaves Room for Pragmatism

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This research aims to compare two surgical techniques in liver transplantation for patients with primary sclerosing cholangitis.
Analysis of surgical outcomes in liver transplantation
Comparison of duct-to-duct and roux-en-y techniques
Evaluation of postoperative complications and patient survival
Utilization of biomarkers to assess liver function
Both techniques show advantages in different circumstances
Postoperative complications are comparable between the two methods
Patient survival rates do not significantly differ between duct-to-duct and roux-en-y
The choice of technique may depend on individual patient factors

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Comparative analysis evaluates surgical techniques for better outcomes in liver transplantation, suggesting practical choices based on evidence.

Visual abstract is available online at doi.org/10.1097/TP.0000000000005698. Export

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Hobeika et al. (2026) studied this question.

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