Abstract：
BACKGROUND: Sir Roy Calne in 1976 described \"Biliary reconstruction is the Achilles heel of liver transplantation,\" and it remains true. In some patients, such as those with short-gut syndrome and concomitant biliary atresia, neither duct to duct nor Roux biliary reconstruction is feasible.
METHODS: We present a case of child\'s third liver transplant (LT), where an innovative extra-anatomical biliary bypass was created using a sleeve from greater curvature of the stomach.
RESULTS: The patient is well nearly 10 years following the LT.
CONCLUSIONS: This technique could prove to be an important addition to the armamentarium of a surgeon in difficult retransplants and in patients with short-gut syndrome as it provides a viable option with good long-term outcome.
METHODS: We present a case of child\'s third liver transplant (LT), where an innovative extra-anatomical biliary bypass was created using a sleeve from greater curvature of the stomach.
RESULTS: The patient is well nearly 10 years following the LT.
CONCLUSIONS: This technique could prove to be an important addition to the armamentarium of a surgeon in difficult retransplants and in patients with short-gut syndrome as it provides a viable option with good long-term outcome.
摘要：
背景：RoyCalne爵士在1976年描述“胆道重建是肝移植的致命弱点，“这仍然是真的。在一些患者中，例如短肠综合征和合并的胆道闭锁，导管到导管和Roux胆道重建都不可行。
方法：我们介绍一例儿童第三次肝移植（LT），在那里，使用从胃的更大曲率的套筒创建了创新的解剖外胆道旁路。
结果：患者在LT术后将近10年。
结论：这项技术可能被证明是外科医生在困难的再移植和短肠综合征患者中的重要补充，因为它提供了一个可行的选择，具有良好的长期结果。
方法：我们介绍一例儿童第三次肝移植（LT），在那里，使用从胃的更大曲率的套筒创建了创新的解剖外胆道旁路。
结果：患者在LT术后将近10年。
结论：这项技术可能被证明是外科医生在困难的再移植和短肠综合征患者中的重要补充，因为它提供了一个可行的选择，具有良好的长期结果。
