Biliary tract reconstruction without T-tube in orthotopic liver transplantation
- VernacularTitle:肝移植术中不留置T型管指征的探讨
- Author:
Ren LANG
;
Dazhi CHEN
;
Qiang HE
;
Zhongkui JIN
;
Dongdong HAN
;
Jiantao KOU
;
Hua FAN
- Publication Type:Journal Article
- Keywords:
Liver transplantation;
Postoperative complications;
Biliary tract;
Stents;
T-tube
- From:
Chinese Journal of General Surgery
2008;23(7):510-512
- CountryChina
- Language:Chinese
-
Abstract:
Objective To probe the indication of biliary tract reconstruction without T-tube in orthotopic liver transplantation.Methods We put forward indications of biliary tract reconstruction without T-tube in orthotopic liver transplantation since January 2004 and there were 102 patients who underwent liver transplantation in our hospital without a T-tube in place after biliary tract reconstruction.The incidence of biliary tract complication was observed in these patients.Results All patients were followed up for more than 6 months.The incidence of biliary tract complication was 4.9 percent(5/102)in this group with 3 patients of intrahepatic difluse bile duct stenosis necessitating liver re-transplantation.The other 2 patients with common hepatic duct nonanastomotic stenosis were healed by ERCP plus stent placement.Conclusions Biliary tract reconstruction without T-tube placement helps to decrease the incidence of biliary tract complications resulting from the T-tube removal.
