Prevention, diagnosis and treatment of biliary complications after liver transplantation.
- Author:
Gui-hua CHEN
1
;
Min-qiang LU
;
Xiao-shun HE
;
Xiao-feng ZHU
;
Guo-dong WANG
;
Yang YANG
;
Chang-jie CAI
;
Jie-fu HUANG
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Aged; Biliary Tract Diseases; diagnosis; prevention & control; therapy; Child; Child, Preschool; Humans; Infant; Liver Transplantation; adverse effects; Middle Aged; Postoperative Complications; diagnosis; prevention & control; therapy
- From: Chinese Journal of Surgery 2003;41(1):3-5
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo study the prevention, diagnosis and treatment of biliary complications after liver transplantation.
METHODSOne hundred and twenty-three recipients who had received liver transplantation between April 1993 and November 2001 were retrospectively reviewed.
RESULTSBiliary complication was diagnosed by cholangiography in 11 patients. Nine patients were cured, 1 patient was improved and 1 patient died. The incidence for biliary complications was 8.9% (11/123), and the mortality was 0.8% (1/123). The incidence of biliary complications due to T tube was 4.2% (5/119). The incidence of biliary complications due to hepatic artery was 1.6% (2/123). In recipients with WIT > 3 min and CIT > 8 h, the incidence of biliary complications elevated significantly.
CONCLUSIONSThe most important reason for biliary complications was preservative and ischemic injury. While repairing donor liver, damage to the blood supply system of donor liver bile ducts should be avoided. Meticulous T tube placement may reduce the incidence of biliary complications. Early cholangiography is helpful to diagnose biliary complications.
